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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® Registration Form; Smile Team™
Item #: 901-21784
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Friendly "happy teeth" design welcomes patients
Printed in 2-color on two sides on 24-lb. white bond paper
$60.99
1 pack
Save 8%
$55.99
2+ pack
Staples® Record Book, 300 Pages, Black (18658/26510)
Item #: 901-217695
Record book for keeping track of tons of information
Black cover with burgundy spine and corners for elegant look
Contains 300 numbered pages, faintly ruled with margin lines; 33 lines per page
$74.99
1-4 each
Save 4%
$71.99
5+ each
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 Registration and History Form without Updates, Tooth Character
Item #: 901-20588
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
$56.99
1-3 pack
Save 3%
$54.99
4+ 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® 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® 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
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® 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® 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
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® 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® 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® 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® Welcome Registration Form, Pets at Left
Item #: 901-20385
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$18.79
1 pack
Save 6%
$17.59
2+ pack
Medical Arts Press® Compact Eye Care Registration and History Card
Item #: 901-20020MAP
Type of form: Registration and history card
250 per pack
Size: 5" x 8"
$39.99
1 pack
Save 10%
$35.99
2+ pack
Adams® Home and Office Budget Record Journal, Ruled, Blue (AFR31)
Item #: 901-584361
Paper is white and blue in color, and the cover is made of polypropylene
30 sheets featuring 64 forms
Dimensions: 10" x 7"
$14.99
Per each
U Brands Ombre Hardcover Journal, 6" x 8.75", Ruled, Pink/Orange (3126U04-24)
Item #: 901-24566436
This hardcover one-subject journal is perfect for taking notes or writing down your thoughts
Features double-sided lined sheets
Comes with an Ombre design in pink with orange
$17.59
Per each
Pacon Spiral Bound Composition Book Hardcover Journal, 9.75" x 7.5", Green Panda (PAC2434)
Item #: 901-JV66543
Picture Story Journal for Grades K-1
Green Panda hard cover
9.75" x 7.5"; Ruled for D'Nealian® Grades K and Zaner-Bloser™ Grade 1
$5.69
Per each
Barker Creek Inspired Writing Journal Set Journal, 8.5" x 11", College Ruled, Assorted Colors, 10/Pack (BC3514)
Item #: 901-2655482
Suitable for all ages and grades
Inspired Writing Journal measures 11"H x 8.5"W
Barker Creek Publishing
$37.99
Per pack
Adams Password Journal, 3.25" x 6.25", 48 Pages, Navy (APJ99)
Item #: 901-APJ99
Password journal to record usernames, logins, passwords, pin hints, security questions, and notes for all your websites in one convenient location
Cover in navy with white pages
Organized alphabetically with four entries per page for 192 total entries on 48 pages
$8.69
1-3 each
Save 8%
$7.99
4+ each
LANG FLIGHT PASSWORD JOURNAL (1014101)
Item #: 901-24296221
Linen embossed cover with pocket sleeve
28 pages
Includes notes page
$9.99
Per each