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Medical Arts Press® Dental Registration and Treatment Form, 4-Pages
Item #: 901-20551
Type of form: Registration and treatment form
250 per pack
Size: 8 1/2" x 11"
$64.99
1-3 pack
Save 9%
$58.99
4+ pack
Quill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2", 3200 Sheets/Carton
Item #: 901-710833
Business paper is perfect for printing receipts that require two copies
Paper dimensions: 5.5"W x 9.5"L
Paper weight: 15 lbs.
$104.99
Per carton
TOPS 2023 1096 Tax Form, 1-Part, 25/Pack (L109625)
Item #: 901-5100Q
Use Form 1096 to submit the totals from information returns 1097, 1098, 1099, 3921, 3922, 5498, and W-2G to the Internal Revenue Service
A 1096 summary transmittal form must accompany each type of 1099 mailed to the IRS—due dates will vary by form
Single-part laser/inkjet compatible forms
$12.99
1-3 pack
Save 3%
$12.59
4+ pack
Medical Arts Press® Registration Forms Featuring Updates Section/Two Clear Toothbrushes
Item #: 901-35064
Thorough questions help patients provide complete information on background, insurance, phone numbers, dental and health history, medications, and allergies
Improved forms increase practice efficiency
Captures adolescent patient information: minor check box; school name, address, phone; dependent insurance coverage
$65.99
1-4 pack
Save 4%
$62.99
5+ pack
Medical Arts Press® Patient Registration and History Form
Item #: 901-39071
Easy-to-complete form guides patient to insert complete Medical History
Special sections alert Dentist to certain diagnoses and medication history requiring medical clearance
Use with every patient on initial visit. Here are some of the form s features:
$79.99
1 pack
Save 7%
$73.99
2+ pack
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® Welcome Registration Form, Eye Graphic
Item #: 901-21783
Type of form: Message sign
Size: 8" x 5"
Message type: Standard
$63.99
1 pack
Save 7%
$58.99
2+ pack
Medical Arts Press® Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish
Item #: 901-20743
HIPAA-compliant insurance authorization
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
$56.99
1-3 pack
Save 3%
$54.99
4+ pack
Medical Arts Press® Dental Registration and Medical History Form, Ledger Stock
Item #: 901-20128MAP
Type of form: Dental registration and medical history form
250 per pack
Size: 8 1/2" x 11"
$53.99
1-3 pack
Save 3%
$51.99
4+ 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® Dental Registration and History Form, Welcome, Toothbrush, Teal Design, No Punch
Item #: 901-20582NP
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
$50.99
1-3 pack
Save 3%
$48.99
4+ pack
Medical Arts Press® Chiropractic Registration and History Forms, Holistic Care
Item #: 901-15165
Forms ensure reimbursement, improve risk management and document your clinical process
Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness, severity
Also includes areas for onset, effect on daily activities, and conditions
$80.99
Per 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® 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® Chiropractic Forms; Travel Card
Item #: 901-21704
Set Up In Popular S.O.A.P. Format of Subjective, Objective, Assessment & Plans
Allows Carryover Of Chief Complaints & Treatment
Printed On Both Sides to Track Up to 20 Visits On One Card
$33.99
1 pack
Save 2%
$32.99
2+ pack
Medical Arts Press® Podiatry Registration and History Forms, Love Your Feet
Item #: 901-15143
Colorful, user-friendly format
Combines thorough patient registration with specialized podiatric health history
Features personal and insurance information sections that enable you to set up your patient s account with ease
$44.99
1 pack
Save 4%
$42.99
2+ pack
Medical Arts Press® Dental Chart Forms For Adult Patients; Information Update
Item #: 901-32429
Size: 8.5 X 11 inch
Form Printed On 1 Side
100 per package
$20.99
1-3 pack
Save 20%
$16.59
4+ pack
Medical Arts Press® Eye Care Registration Form, Numbered Sections
Item #: 901-20571
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$56.99
1-3 pack
Save 21%
$44.99
4+ 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® 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
$25.99
Per pack
Medical Arts Press® Welcome Registration Form, Pets at Left
Item #: 901-20385
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$38.99
1 pack
Save 7%
$35.99
2+ pack
Adams 2023 1096 Summary Tax Forms, 10/Pack (STAX1096-23)
Item #: 901-24564849
Use Form 1096 to submit the totals from information returns 1097, 1098, 1099, 3921, 3922, 5498, and W-2G to the IRS
A 1096 summary transmittal form must accompany each type of 1099 mailed to the IRS—due dates will vary by form; New IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Try the new Adams Tax Forms Helper to eFile to the IRS
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/SSA! ...
$9.99
1-3 pack
Save 5%
$9.49
4+ pack