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Carbonless
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Item no longer available
Item # 901-15127
Medical Arts Press
2
1
Loose
Yes
8-1/2" x 11"
Clinical
Sign In Sheet
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None
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20
125
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Yes
No
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No
Yes
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8-1/2" x 11"
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Medical Arts Press
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8 1/2" x 11"
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11
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125
Privacy Sign-In Sheets
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Eye Logo
N/A
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8.5
More alternatives
$37.99
pack
When you buy 2+
Medical Arts Press
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250
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Medical Arts Press
2
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11
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Dental Claims
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White
8.5
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Medical Arts Press® Designer Privacy Sign-In Sheets; Eye Logo
Item #: 901-24129
Privacy Sign-In Sheets That Provide The Level of Privacy That Patients Expect.
Sheets Provided for Patient Name, Arrival Time, Appointment Time, Doctor Or Dept, Indicate Yes Or not for Any Changes To InFormation & Numbering System If Office Chooses To Use
Patient Signs On Removable Strips That Have Adhesive Backs for Attaching to Patient Charts to Improve Record Keeping
$53.99
Per pack
Medical Arts Press® Privacy Sign-In Sheets; Dental Icons
Item #: 901-24120
Privacy Sign-In Sheets Provide The Level of Privacy That Patients Expect
Sheets Provided for Patient Name, Arrival Time, Appointment Time, Doctor Or Dept, Indicate Yes Or not for Any Changes To InFormation & Numbering System If Office Chooses To Use
Patient Signs On Removable Strips That Have Adhesive Backs for Attaching to Patient Charts to Improve Record Keeping
$54.99
Per pack
Medical Arts Press® Copy-Proof Rx Blanks, Single Sheet Pads
Item #: 901-16015
6 security features comply with CMS 10/1/08 Tamper Resistant Requirements for Medicaid
Copy-proof Rx blanks feature a blue pattern background; "void" pantograph appears when copied
Micro-print signature line helps prevent counterfeiting and states security when viewed through a magnifying glass; security band lists security features
Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4"
Item #: 901-16020
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
Medical Arts Press® Replacement Day Sheet Forms; Bond, Format S1, 50 Forms/Pack (WJM11)
Item #: 901-20527
Replacement day sheet forms
Number of parts: One
50/Pack
$30.99
2+ pack
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Item #: 901-16035
Tamper-resistant Rx pad features 5 security features
Alter-proof blue pattern background to ensure there are no erasures or modifications of information - look and regulations may vary state to state
Void Pantograph — the word "void" will appear when photocopied
Medical Arts Press® 2-Part Rx Blanks; Carbonless, 4x5-1/2"
Item #: 901-16022MAP
2-part carbonless; yellow duplicate
Standard refill instructions
Specify state license and/or DEA numbers, if desired
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 1 RX Blank/Sheet, High Security, 500/Pack
Item #: 901-83405
Security features exceed industry guidelines and meet all Medicaid requirements
Void pantograph - the word "VOID" appears when form is photocopied
Chemical protection - stains or spots appear with chemical alteration
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
Medical Arts Press® Single Copy Rx Blanks; Vertical, Alter-Proof
Item #: 901-16034
Tamper-resistant Rx pad features 5 security features; meets October 1st 2008 Medicaid Requirements
Alter-proof blue pattern background to ensure there are no erasures or modifications of information
Void Pantograph — the word "void" will appear when photocopied
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Item #: 901-16010MAP
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
Medical Arts Press® Continuation Notes, White, No Punch Option
Item #: 901-20131NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$45.99
Per pack
Medical Arts Press® Tamper-Resistant Secure Rx Blanks; Single Sheet
Item #: 901-15970
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
Medical Arts Press® Treatment Notes, Tooth Diagram, Non-Imprinted, No Punch
Item #: 901-21150NP
Set per pack (uom): 250 per pack
Size: 8 1/2" x 11"
Dental exam chart format
$42.99
1-3 pack
Save 13%
$36.99
4+ pack
Medical Arts Press® Narrow Ruled Veterinary Animal Record Progress Notes, 250/Pack (20474)
Item #: 901-20474
Form heading includes space for owner s information and animal s identifying information
Top of page reinforced and two-hole punched
Reverse side is printed with Date and Progress Notes column headings
$70.99
1 pack
Save 7%
$65.99
2+ pack
Medical Arts Press® Progress Notes, No Holes Punched & No Imprint
Item #: 901-21757NP
Type of form: Progress Notes
250 per pack
Size: 8 1/2" x 11"
$44.99
1-3 pack
Save 13%
$38.99
4+ pack
Medical Arts Press® Treatment Notes, Tooth #, Non-Imprinted, No Punch
Item #: 901-20560NP
Type of form: Treatment note
250 per pack
Size: 8 1/2" x 11"
$48.99
Per pack
Medical Arts Press® Progress Notes; Reinforced, Top Punched
Item #: 901-20555
Provides plenty of room to record patient progress and your findings at subsequent visits
Record patient name, birth date and gender
Ruled back side
$59.99
Per pack
Medical Arts Press® FormFamily Dental Exam Form
Item #: 901-20609
Form size: 8-1/2x11"
2-hole punched on top
5-hole punched on the left side
$41.99
1-3 pack
Save 19%
$33.99
4+ pack
Medical Arts Press® Dental Treatment Record Form; 2-Sided
Item #: 901-20608
Ideal for practices that prefer not to record fees on their treatment notes
Form includes basic patient information
Two-sided with back of form ruled
$45.99
1-3 pack
Save 21%
$35.99
4+ pack
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 4 RX Blanks/Sheet, High Security
Item #: 901-83406
Security features exceed industry guidelines and meet all Medicaid requirements
Void pantograph - the word "VOID" appears when form is photocopied
Chemical protection - stains or spots appear with chemical alteration
Medical Arts Press® Pet Treatment Records, Canine, No Punch
Item #: 901-20562NP
Type of form: Treatment record
250 per pack
Size: 8 1/2" x 11"
$53.99
1-3 pack
Save 11%
$47.99
4+ pack
Medical Arts Press® Progress Notes, Horizontal and Vertical ID, Ivory
Item #: 901-20121NP
Type of form: Progress note
250 per pack
Size: 8 1/4" x 10 3/4"
$54.99
1-3 pack
Save 14%
$46.99
4+ pack
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 2 RX Blanks/Sheet, High Security
Item #: 901-83401
Security features exceed industry guidelines and meet all Medicaid requirements
Void pantograph - the word "VOID" appears when form is photocopied
Chemical protection - stains or spots appear with chemical alteration
$54.99
1-7 pack
Save 25%
$40.99
8+ pack
Medical Arts Press® Pet Treatment Records, All-Purpose
Item #: 901-20557
Type of form: Treatment record
250 per pack
Size: 8 1/2" x 11"
$41.99
1-3 pack
Save 16%
$34.99
4+ pack
Medical Arts Press® Progress Notes; Standard 2-Hole Punch, White, 1/Pack, (20585RL)
Item #: 901-20585NP
60 lb. stock
For custom punch order item # 20585
250 per package
$62.99
Per pack
Medical Arts Press® Veterinary Animal Record Progress Notes, Narrow Ruled
Item #: 901-20475
Type of form: Veterinary progress note
250 per pack
Size: 8 1/2" x 11"
$39.99
1-3 pack
Save 17%
$32.99
4+ pack
Medical Arts Press® Pet Treatment Records, Feline, No Punch
Item #: 901-20563NP
Type of form: Treatment record
250 per pack
Size: 8 1/2" x 11"
$53.99
Per pack
Medical Arts Press® Self-Duplicating Rx Pad; Vertical
Item #: 901-16040
Perfect for retaining a copy of every prescription
Just fold and write - smudge-free carbonless duplicates are clean and automatic
Your heading printed at top (no printing on duplicate copies)
Medical Arts Press® Dental Treatment Consent Form; 1-Sided
Item #: 901-20606
Provides your patient complete information about their treatment and its risks
Obtains written consent for your records
Just check off applicable conditions; patient reads explanation, initials and signs
$40.99
1 pack
Save 9%
$36.99
2+ pack
Medical Arts Press® Continuation Notes, Blue, No Punch
Item #: 901-20134NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$55.99
Per pack
Medical Arts Press® Standard Preprinted Chart Divider Tabs, Consent Forms, Light Green
Item #: 901-30580
Light green tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
$7.79
1-4 pack
Save 2%
$7.59
5+ pack