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HR & Medical Forms  (184 Products)
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Medical practices submit medical claim forms to insurance providers to receive payment for care rendered to insured patients. Practices submit most claims electronically, but also use paper forms as well. Regulations mandate that practices use CMS 1500 forms as the paper documents for submission to government insurers. The forms are also the standard document for private insurance submissions. Read More
Item # 901-125542
Model # CMS121
ComplyRight CMS-1500 Health Insurance Claim Form (02/12), 1000/Carton (CMS12LC1)

ComplyRight CMS-1500 Health Insurance Claim Form (02/12), 1000/Carton (CMS12LC1)

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
The most significant change was the addition of 8 diagnosis codes in field 21
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
$49.99 Carton
This item ships FREE *
Item # 901-CMS12LC1
Model # CMS12LC1
ComplyRight 2022 Attendance Calendar Card, White, Pack of 25 (A4000W25)

ComplyRight 2022 Attendance Calendar Card, White, Pack of 25 (A4000W25)

Calendar format on front of form makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Provides legal "backup" for personnel decisions, such as disciplinary action or termination
$35.99 Pack
This item ships FREE *
Item # 901-2548993
Model # A4000W25
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 250/Box

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 250/Box

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$14.59 Box
This item ships FREE *
Item # 901-CMS12LC250
Model # CMS12LC250
Confidential Employee Record Folders

Confidential Folders, Employee's Record

Keep employee records safe and private
Whether it’s payroll information, performance reviews or warning notices, employee records should be kept confidential
According to federal law, employee medical records must be filed separately from personnel records
$49.99 Pack
This item ships FREE *
Item # 901-A0503
Model # A0503 PLN PLN
Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)

Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)

The employee personnel file folder is complete with space for any case
Number of parts: 1
Contains 20 per pack for bulk purchasing
$18.29 Pack When you buy 3+
or
This item ships FREE *
Item # 901-9287
Model # 9287
ComplyRight 2022 Attendance Calendar Card, White, Pack of 50 (A4000W50)

ComplyRight 2022 Attendance Calendar Card, White, Pack of 50 (A4000W50)

Calendar format on front of form makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Provides legal "backup" for personnel decisions, such as disciplinary action or termination
$50.99 Pack
This item ships FREE *
Item # 901-2548988
Model # A4000W50
TOPS Employee Record Master File, 20/Pack (TOP 3280)

TOPS Employee Record Master File, 20/Pack (TOP 3280)

Employee personal file includes all you need to build a complete employee record
20 personal files per pack
Comes in manila color with blue ink
$29.99 Pack When you buy 10+
or
This item ships FREE *
Item # 901-3280Q
Model # 3280
Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)

Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)

Includes the necessary information for every type of position
Contains 50 two-sided forms per pad, two pads per package
Perfect contrast of blue ink on white paper
$17.29 Pack When you buy 3+
or
This item ships FREE *
Item # 901-9661
Model # 9661
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)

TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)

Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Contains 2500 forms per carton
$82.99 Carton
This item ships FREE *
Item # 901-519727
Model # null
Adams Attendance Records, 50/Pack (ABF 9493)

Adams Attendance Records, 50/Pack (ABF 9493)

Control costs and keep track of employees' work schedules with daily attendance record
Contains 50 records per package
Perfect contrast of blue ink on white paper
$16.99 Pack When you buy 3+
or
This item ships FREE *
Item # 901-9493
Model # 9493
TOPS® Application for Employment, 2-Sided, 8-1/2 x 11, 50 Sheets/Pad, 2 Pads/Box

TOPS® Application for Employment, 2-Sided, 8-1/2 x 11", 50 Sheets/Pad, 2 Pads/Box

2-hole punched
Application complies with all legal requirements
Includes employment history, references, education, personal information, physical record, check-offs for special questions and space for interviewer's remarks
$16.99 Box
This item ships FREE *
Item # 901-370031
Model # 32851
Centers for Medicare and Medicaid Services Forms, 8-1/2 x 11, 250 Forms

Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250 Forms

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
$22.59 Pack
This item ships FREE *
Item # 901-2408453
Model # 50135RV
Adams Time Sheets, 100/Pad, 2 Pads/Pack (ABF 9507ABF)

Adams Time Sheets, 100/Pad, 2 Pads/Pack (ABF 9507ABF)

Track weekly time, including morning, afternoon, and overtime using these time sheets
Number of parts: 1
Contains 100 sheets per pad, two pads per package
$14.29 Pack
This item ships FREE *
Item # 901-124495
Model # 9507
ComplyRight 2022 Time Off Request and Approval Calendar, Pack of 50 (A0037)

ComplyRight 2022 Time Off Request and Approval Calendar, Pack of 50 (A0037)

Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
$42.99 Pack
This item ships FREE *
Item # 901-2548986
Model # A0037
ComplyRight CMS-1500 9 X 12 1/2 Jumbo Right Window Envelope (1500RS)

ComplyRight CMS-1500 9" X 12 1/2" Jumbo Right Window Envelope (1500RS)

Prevents processing delays
Measures 9" x 12-1/2"
Self-sealing
$52.99 Each
This item ships FREE *
Item # 901-1949161
Model # 1500RS
ComplyRight 2022 Attendance Calendar Kit, White, Pack of 100 (A1411W16PK100)

ComplyRight 2022 Attendance Calendar Kit, White, Pack of 100 (A1411W16PK100)

Calendar format on front of Attendance Calendar Cards makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Back of Attendance Calendar form allows for recording absence notes, tracking leave as well as any employee warnings for attendance issues
$104.99 Each
This item ships FREE *
Item # 901-1949171TFP
Model # A1411W16PK100
TOPS CMS-1500 1 Part Health Insurance Claims 500/Pack (TOP 50126RV)

TOPS CMS-1500 1 Part Health Insurance Claims 500/Pack (TOP 50126RV)

Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 500 forms per package
$56.99 Pack
This item ships FREE *
Item # 901-309934
Model # 50126RV
ComplyRight 2022 Attendance Calendar Kit, White, Pack of 50 (A1411W16PK50)

ComplyRight 2022 Attendance Calendar Kit, White, Pack of 50 (A1411W16PK50)

Calendar format on front of Attendance Calendar Cards makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Back of Attendance Calendar form allows for recording absence notes, tracking leave as well as any employee warnings for attendance issues
$72.99 Each
This item ships FREE *
Item # 901-1949172TFP
Model # A1411W16PK50
ComplyRight 2022 Attendance Calendar Kit, White, Pack of 25 (A1411W16PK25)

ComplyRight 2022 Attendance Calendar Kit, White, Pack of 25 (A1411W16PK25)

Calendar format on front of Attendance Calendar Cards makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Back of Attendance Calendar form allows for recording absence notes, tracking leave as well as any employee warnings for attendance issues
$60.99 Each
This item ships FREE *
Item # 901-1949173TFP
Model # A1411W16PK25
Daily Attendance Cards

Daily Attendance Cards

50 forms
1 form per page
Track employee attendance for the entire year with absence codes
$16.59 Each
This item ships FREE *
Item # 901-370114
Model # 3284
ComplyRight™ Employee Records Folder, Letter Size, Pack of 25 (A5001)

ComplyRight™ Employee Records Folder, Letter Size, Pack of 25 (A5001)

Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Easily fits into any filing cabinet or desk drawer
$68.99 Each
This item ships FREE *
Item # 901-1949184
Model # A5001
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous, 1,000/Carton

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous, 1,000/Carton

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$49.99 Carton When you buy 2+
or
This item ships FREE *
Item # 901-CMS1211
Model # CMS1211
Medical Arts Press® Log of Hospital Visits; Pocket-sized, 1-Part

Medical Arts Press® Log of Hospital Visits; Pocket-sized, 1-Part

Updated with new 2010 consult codes and helpful chart on inside front cover
Make a check mark or write in the level of code for each patient visit
When patient is discharged, detach and give to billing - it's virtually foolproof
$56.99 Pack When you buy 4+
or
This item ships FREE *
Item # 901-20030
Model # 20030
Lifetime Warranty
TOPS Employee Record File Straight Cut, 20/Pack (TOP 3287)

TOPS Employee Record File Straight Cut, 20/Pack (TOP 3287)

Employee personal files include all you need to build a complete employee record
20 personal files per pack
Comes in white with green ink
$28.99 Pack
This item ships FREE *
Item # 901-3287
Model # 3287
ComplyRight Employee Record Organizer for Small Business, 3-Folder Set

ComplyRight Employee Record Organizer for Small Business, 3-Folder Set

Contains 3 folders: Hiring/Employment History, Payroll/Tax and Benefits/Insurance
Back side of organizer jacket explains what records you must keep and for how long
Organizer: 9.5" x 11.875" x 1.75"
$94.99 Each
This item ships FREE *
Item # 901-1949185TFP
Model # A3103
ComplyRight 2021-2022 Fiscal Attendance Records, 50/Pack (A42005015)

ComplyRight 2021-2022 Fiscal Attendance Records, 50/Pack (A42005015)

Comes in a storage file folder with ComplyRight™ tips for optimal, complaint use
3-hole punched
Measures 8.5" x 11"
$57.99 Each
This item ships FREE *
Item # 901-1949176TFP
Model # A42005015
ComplyRight 2022 2-Part Time Off Request and Approval Form, Pack of 50 (A0045)

ComplyRight 2022 2-Part Time Off Request and Approval Form, Pack of 50 (A0045)

Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
$60.99 Each
This item ships FREE *
Item # 901-24202398
Model # A0045
ComplyRight Employee Warning Notice Forms (AR0395)

ComplyRight Employee Warning Notice Forms (AR0395)

Plus, this handy form includes space for employee and supervisor signatures.
50 Pack
Size: 81/2” x 11”
$44.99 Pack
This item ships FREE *
Item # 901-712137
Model # null
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)

ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)

Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
$39.99 Pack
This item ships FREE *
Item # 901-398026
Model # A1354
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Yellow, 1,000/Bo
$77.99 Box When you buy 2+
or
This item ships FREE *
Item # 901-CMS122
Model # CMS122
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)

ComplyRight HIPAA Patient Consent and Authorization Form (A1350)

Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
Complies with HIPAA’s authorization requirements
Size: 8 1/2" x 11"
$42.99 Pack
This item ships FREE *
Item # 901-398021
Model # A1350
ComplyRight 4-Part Consecutive Employee Warning Report, Pack of 50 (A2187)

ComplyRight 4-Part Consecutive Employee Warning Report, Pack of 50 (A2187)

Eliminates the need for multiple warning slips, saving time and paper
Encourages employee accountability by showing employees you are serious, but are willing to give them an opportunity to correct problems
Provides a space for employees to sign the Warning Notice, indicating that they understand the warning and the consequences if their performance does not improve
$81.99 Each
This item ships FREE *
Item # 901-2548975
Model # A2187
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)

ComplyRight Notice of Privacy Practice, 100/Pack (A1349)

Describes how medical information about patients may be used and disclosed
Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and do's and don'ts
Size: 8 1/2" x 11"
$29.99 Pack
This item ships FREE *
Item # 901-398024
Model # A1349
ComplyRight 2 Part Small Request for Time Off, Pack of 50 (A2203)

ComplyRight 2 Part Small Request for Time Off, Pack of 50 (A2203)

Attorney-approved to ensure 100% compliance
Pack of 50 forms
Clearly outlines who is requesting and who approves paid time off
$46.99 Each
This item ships FREE *
Item # 901-2549338
Model # A2203
ComplyRight 6-Part Personnel Folder, 25/Pack (A1175)

ComplyRight 6-Part Personnel Folder, 25/Pack (A1175)

Expandable organizer offers convenient, comprehensive record-keeping
Contains six different file folders per organizer
Contains 25 organizers per package including one outer jacket and six tabbed folders each
$142.99 Each
This item ships FREE *
Item # 901-1949186TFP
Model # A1175
ComplyRight Confidential Personnel Pocket File

ComplyRight Confidential Personnel Pocket File

Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Extended tab on folder helps easily locate employee from file cabinets
$68.99 Each
This item ships FREE *
Item # 901-1949182
Model # A1202
ComplyRight Federal (Bilingual), State & Public Sector (English) Poster Set - Texas (EFEDSTCRPSECBTX

ComplyRight Federal (Bilingual), State & Public Sector (English) Poster Set - Texas (EFEDSTCRPSECBTX)

100% compliant posters adhere strict government requirements for color, font and size
Laminated for greater durability
Laminated Bilingual Federal, English State and Public Sector posters
$62.99 Each
This item ships FREE *
Item # 901-1949202TFP
Model # EFEDSTCRPSECBTX
ComplyRight 2022 Attendance Calendar Kit, White, Pack of 200 (A1411W16PK200)

ComplyRight 2022 Attendance Calendar Kit, White, Pack of 200 (A1411W16PK200)

Calendar format on front of Attendance Calendar Cards makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Back of Attendance Calendar form allows for recording absence notes, tracking leave as well as any employee warnings for attendance issues
$188.99 Each
This item ships FREE *
Item # 901-1949159TFP
Model # A1411W16PK200
ComplyRight 1-Part Personnel Folder, 25/Pack (A223)

ComplyRight 1-Part Personnel Folder, 25/Pack (A223)

Personnel folder keeps quick information on the outside and confidential records on the inside
One-part personnel folder
Contains 25 folders per package
$68.99 Each
This item ships FREE *
Item # 901-1949180
Model # A223
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/White, 1,000/Box

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/White, 1,000/Box

Printed with OCR "dropout" red ink on 20# paper, as per government regulations
1,000 per case
Form is "8.5x11"
$84.99 Box When you buy 2+
or
This item ships FREE *
Item # 901-CMS12W2
Model # CMS12W2
ComplyRight™ Expanded Employee Records Folder, Letter Size, Pack of 25 (A5008)

ComplyRight™ Expanded Employee Records Folder, Letter Size, Pack of 25 (A5008)

Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Expanded folder has 1.5” spine which holds more than 100 employee documents
$90.99 Each
This item ships FREE *
Item # 901-1949181
Model # A5008
ComplyRight Compact 2-Part Absence Report, Pack of 50 (A2151)

ComplyRight Compact 2-Part Absence Report, Pack of 50 (A2151)

Attorney-developed to ensure 100% compliance
Features ComplyRight™ tips for optimal, compliant use
Includes space to add your own comments
$49.99 Each
This item ships FREE *
Item # 901-2548978
Model # A2151
ComplyRight™ HIPAA Protecting Patient Privacy Poster (A2126)

ComplyRight™ HIPAA Protecting Patient Privacy Poster (A2126)

Communicates mandatory HIPAA rules to healthcare employees
Educates employees on how and when patient's medical information may be disclosed and what to do if a breach occurs
Poster size 12 x 18"
$26.99 Each
This item ships FREE *
Item # 901-A2105
Model # A2105
ComplyRight Expandable Confidential Personnel Envelo-File®

ComplyRight Expandable Confidential Personnel Envelo-File®

1.5" spine gives extra room for documents
Size: 11.75" x 9.5" x 1.5"
Protects legally sensitive documents
$90.99 Each
This item ships FREE *
Item # 901-1949187
Model # A0720
ComplyRight Employee Personnel Envelo - File (A0717)

ComplyRight Employee Personnel Envelo - File (A0717)

25 Pack
Ample space on the outside of the file to document employee information.
Pack of 25
$83.99 Each
This item ships FREE *
Item # 901-203198
Model # A0717
ComplyRight Performance Appraisal, Pack of 50 (A2192)

ComplyRight Performance Appraisal, Pack of 50 (A2192)

Helps you communicate your expectations clearly and provides employees with a tangible way to gauge their progress
Creates a consistent, timesaving review process
Attorney-developed to ensure 100% compliance
$49.99 Each
This item ships FREE *
Item # 901-2548974
Model # A2192
ComplyRight Payroll Change Notice Forms (AR0394)

ComplyRight Payroll Change Notice Forms (AR0394)

Ensures all employees have updated, current payroll records
Size: 8 1/2" X 11"
50 per pack
$42.99 Pack
This item ships FREE *
Item # 901-712138
Model # null
ComplyRight™ ComplyRight HIPAA Notice of Privacy Practices Poster (A2123)

ComplyRight™ ComplyRight HIPAA Notice of Privacy Practices Poster (A2123)

Communicates mandatory HIPAA rules to patients
Laminated
Informs patients of their rights and responsibilities under HIPAA regulations
$28.99 Each
This item ships FREE *
Item # 901-A2103
Model # A2103
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 2-Part Continuous with Label, 1,000/Carto

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 2-Part Continuous with Label, 1,000/Carton

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$96.99 Carton When you buy 2+
or
This item ships FREE *
Item # 901-CMS122B
Model # CMS122B
ComplyRight OSHA Form 301, Pack of 25 (W0282)

ComplyRight OSHA Form 301, Pack of 25 (W0282)

Must be completed within seven days after a recordable injury or illness has occurred
Attorney-approved to ensure 100% compliance
Pack of 25 forms
$30.99 Each
This item ships FREE *
Item # 901-2548922
Model # W0282
Medical Arts Press® Designer Privacy Sign-In Sheets; Marble Design

Medical Arts Press® Designer Privacy Sign-In Sheets; Marble Design

Paraffin Refills Are Specially Formulated for Use with Parabathr Paraffin Baths & Similar Paraffin Heat-Therapy Units Parabathr Paraffin Bath Provides Soothing, Moist Therapeutic Heat for Treating Pain Due To Arthritis, Joint Stiffness, Sports-Relate
d Inj ...
Manufacturer: Medical Arts Press
$55.99 Pack When you buy 5+
or
This item ships FREE *
Item # 901-24131
Model # 24131
Lifetime Warranty
ComplyRight Forklift Operators Daily Checklist , Pack of 50 (W1732)

ComplyRight Forklift Operator's Daily Checklist , Pack of 50 (W1732)

Encourages forklift operators to ensure correct vehicle operation and workplace safety before starting work.
Helps identify possible maintenance issues before they become problems.
Pack of 50
$34.99 Each
This item ships FREE *
Item # 901-2548924
Model # W1732
ComplyRight Accident/Illness Report, Pack of 25 (N9042PK25)

ComplyRight Accident/Illness Report, Pack of 25 (N9042PK25)

Satisfies most recordkeeping requirements relating to employee illness and injury
Attorney-developed to ensure 100% compliance
Pack of 25 forms
$30.99 Each
This item ships FREE *
Item # 901-2548923
Model # N9042PK25
ComplyRight Employee Separation Forms (AR0373)

ComplyRight Employee Separation Forms (AR0373)

50 Pack
Size: 81/2” x 11”
8 1/2" x 11"
$36.99 Pack
This item ships FREE *
Item # 901-712163
Model # null
ComplyRight State-Compliant Job Application, Michigan

ComplyRight State-Compliant Job Application, Michigan

Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$55.99 Each
This item ships FREE *
Item # 901-1949607TFP
Model # A2179MI
ComplyRight ADA Self-Seal Envelope (2003ES)

ComplyRight ADA Self-Seal Envelope (2003ES)

Self-Seal Envelope you can use it for 2002, 2004, & 2006 Versions
Dimensions: 9.5" W x 4.125" H
Pack size 500
$76.99 Box
This item ships FREE *
Item # 901-728692E
Model # 2003ES