Page 2 of 1098t tuition form for laser printers
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Quill Brand® 9.5" x 11" 4 Part Form Paper, 15 lbs., 92 Brightness, 850 Sheets/Carton (710754)
Item #: 901-710754
4-part form paper produces letter-size originals and three copies fast and fuss-free
Paper weight: 15 lb. white top sheet, 15 lb. bottom sheets
8-1/2x11" without carrier strips (9-1/2x11" with 1/2" standard perforated carrier strips)
$245.99
Per carton
Medical Arts Press® Podiatry Registration and History Form, Teal, No Punch
Item #: 901-20590NP
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
$50.99
1 pack
Save 11%
$44.99
2+ pack
Quill Brand® 9.5" x 11" Continuous Form Paper, 18 lbs., 92 Brightness 2550 Sheets/Carton (710608)
Item #: 901-710608
Continuous form bond paper
Paper weight: 18 lbs.
Size: 9-1/2x11" (8-1/2" width with carrier strips removed)
$89.99
Per carton
Quill Brand® 9.5" x 11" Continuous Form Paper, 20 lbs., 92 Brightness 2550 Sheets/Carton (710657)
Item #: 901-710657
Continuous form bond paper
Paper weight: 20 lbs.
Size: 9-1/2x11" (8-1/2" width with carrier strips removed)
$115.99
Per carton
Medical Arts Press® Consent Form, Dental Treatment, Bilingual
Item #: 901-21153
Size: 8 1/2" x 11"
Paper color: White
Number of parts: 1
$53.99
1-3 pack
Save 14%
$45.99
4+ pack
Medical Arts Press® Dental Registration and History Form; Tooth Border
Item #: 901-20596
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$53.99
1-3 pack
Save 3%
$51.99
4+ pack
Medical Arts Press® Periodontal Chart; Rainbow FormFamily™, Dental
Item #: 901-10008
100 sheets per package
Size: 8-1/2" x 11"
Form Printed on 1 Side
$23.99
1-3 pack
Save 5%
$22.79
4+ pack
Quill Brand® 12" x 8.5" Continuous Form Paper, 18lbs., 2800 Sheets/Carton (QU710641)
Item #: 901-710641
Continuous form bond paper
Paper weight: 18 lbs.
Size: 12x8-1/2"
$133.99
Per carton
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® Comprehensive Examination Form
Item #: 901-21700
4-page document records clinical detail from a patient's comprehensive exam
Includes sections to record results from clinical tests
Includes top 25 ortho/neuro tests
$66.99
Per pack
Medical Arts Press® Vehicle Accident Information Form
Item #: 901-20546
Paper color: White
Number of parts: 1
Binding type: Loose
$47.99
Per pack
Medical Arts Press® Initial Exam Chart; Rainbow FormFamily™, Dental
Item #: 901-10007
Form Printed on 1 Side
Anatomical chart shows facial, occlusal, and lingual tooth and root surfaces
Size: 8-1/2x11"
$24.59
1-7 pack
Save 24%
$18.59
8+ pack
Medical Arts Press® Progress Notes; Purple FormFamily™
Item #: 901-20643
Record detailed chronological notes for ongoing patient care pertaining to illnesses, treatments, and progress
Printed in blue ink on white 24-lb. bond paper
2 Predrilled holes on top and 5 on the side
$49.99
1-3 pack
Save 24%
$37.99
4+ pack
Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
Item #: 901-33018
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$24.59
Per pack
$25.99
Per pack
Medical Arts Press® Patient Information Update Form
Item #: 901-39072
Use with every patient
Printed on 24-lb. bond paper
Size: 8-1/2-in. x 11-in
$72.99
1 pack
Save 8%
$66.99
2+ pack
Quill Brand® 14-7/8 "x 11" Continuous Form 1/2" Blue Bar Paper, 20 lbs., 2700 Sheets/Carton (QU710604)
Item #: 901-710604
1/2" blue bar Bond paper for continuous form printing
Paper weight: 20 lbs.
Size 14-7/8x11"
$186.99
Per carton
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11", 18-lb.
Item #: 901-710601
Business computer paper is excellent for making carbonless copies
Paper dimensions: 14.875"W x 11"L
Paper weight: 18 lbs.
$115.99
Per carton
Staples® Bond Continuous Form Paper, 14-7/8 x 11", 20 lb, 100 Bright, White, 2700 Sheets/Carton (177121)
Item #: 901-710605
Reliable business paper is perfect for professional use
Paper dimensions: 11"W x 14.88"L
Paper weight: 20 lbs.
$117.99
Per carton
White Continuous Form Paper, 1-Part, 18 lb., 9-1/2x11", 2,500/Box, Recycled
Item #: 901-246728
Reliable multipurpose paper
Paper dimensions: 9.5"W x 11"L
Paper weight: 18 lbs.
$93.99
Per box
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-CMS12LC250
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
$33.99
Per box
Medical Arts Press® Dental Registration Forms Featuring Updates Section, Unpunched, Sky Blue
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
$55.99
1-3 pack
Save 3%
$53.99
4+ pack
Quill Brand® Special-Size 3 Part Carbonless Forms, 9-1/2x5-1/2", 1,000/CT (9353)
Item #: 901-710837
Use Quill Brand special-size multi-part carbonless forms when you need multiple copies of the same form
Size: 9-1/2x5-1/2"; 8-1/2x5-1/2" without the carrier strips
3-part forms: white top sheet, canary-colored second sheet and pink third sheet
$139.99
Per carton
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x8-1/2", 18-lb.
Item #: 901-710747
Business computer paper is excellent for making carbonless copies
Paper dimensions: 14.88"W x 8.5"L
Paper weight: 18 lbs.
$99.99
Per carton