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Page 2 of paris health insurance claim forms

(2100 items found)
All filters 2100 items found
Medical Arts Press® Patient Registration and History FormMedical Arts Press® Patient Registration and History Form
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® Dental Registration Forms Featuring Updates Section; Sky Blue, SpanishMedical Arts Press® Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish
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® Chiropractic Registration and History Forms, Holistic Care
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® Washington Laser Prescription Forms; Non Personalized
Medical Arts Press® Dental Treatment Record Form; 2-SidedMedical Arts Press® Dental Treatment Record Form; 2-Sided
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
$46.99
1-3 pack
Save 4%
$44.99
4+ pack
Medical Arts Press® Chiropractic Registration and History Forms, BotanicalMedical Arts Press® Chiropractic Registration and History Forms, Botanical
Medical Arts Press® Chiropractic Registration and History Forms, Botanical
Item #: 901-15164
Improved forms ensure reimbursement, improve risk management and document your clinical process
Areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness, severity, onset, effect on daily activities, constancy and progression of symptoms
HIPAA-compliant insurance authorization
$79.99
1 pack
Save 6%
$74.99
2+ pack
Medical Arts Press® Dental Registration and History Form, Welcome, Toothbrush, Teal Design, No Punch
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® Dental Registration and History Form; Tooth BorderMedical Arts Press® Dental Registration and History Form; Tooth Border
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
Quill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2, 3200 Sheets/CartonQuill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2, 3200 Sheets/Carton
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
Medical Arts Press® Podiatry Registration and History Forms, Love Your Feet
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® Consent Form,  Dental Treatment, Bilingual
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® Comprehensive Examination FormMedical Arts Press® Comprehensive Examination Form
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  FormMedical Arts Press® Vehicle Accident Information  Form
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® Eye Care Registration Form, Numbered SectionsMedical Arts Press® Eye Care Registration Form, Numbered Sections
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 Treatment Consent Form; 1-SidedMedical Arts Press® Dental Treatment Consent Form; 1-Sided
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 CardMedical Arts Press® Chiropractic Forms; Travel Card
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® Dental Registration and History Form; Purple and Teal DesignMedical Arts Press® Dental Registration and History Form; Purple and Teal Design
Medical Arts Press® Welcome Registration Form,  Pets at Left
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
Medical Arts Press® Dental Chart Forms For Adult Patients; Information Update
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® Registration Form Featuring Updates Section/Blue Wave
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
Medical Arts Press® Patient Information Update FormMedical Arts Press® Patient Information Update Form
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
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
Item #: 901-2408453
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
$21.99
1-3 pack
Save 4%
$20.99
4+ pack
Adams 2023 W2 Tax Forms Kit with Adams Tax Forms Helper and 10 Free eFiles, 50/Pack (STAX650W-23)Adams 2023 W2 Tax Forms Kit with Adams Tax Forms Helper and 10 Free eFiles, 50/Pack (STAX650W-23)
Adams 2023 W2 Tax Forms Kit with Adams Tax Forms Helper and 10 Free eFiles, 50/Pack (STAX650W-23)
Item #: 901-24564835
Use Form W-2 to report employee wages, tips and taxes withheld to the Social Security Administration and your employees
2023 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by January 31, 2024; New IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Use the new Adams Tax Forms Helper to eFile to the IRS/SSA
6-Part W-2 forms print 2 to a page on 25 micro perforated sheets with copies A, D/1, B, C, 2 and D/1
$44.99
Per pack
Out of stock
Adams 2023 1099-MISC eFile Tax Forms Kit, w/ Self Seal Envelopes, Access to new Adams Tax Forms HelpAdams 2023 1099-MISC eFile Tax Forms Kit, w/ Self Seal Envelopes, Access to new Adams Tax Forms Help
Adams 2023 1099-MISC eFile Tax Forms Kit, w/ Self Seal Envelopes, Access to new Adams Tax Forms Helper, 12/Pack (STAX512MISC-23)
Item #: 901-24564840
Use Form 1099-MISC to report miscellaneous income and payer-made sales of $5000 or more; now a continuous-use form with a fill-in-the-year date field good for multiple tax years; the previously unnumbered FATCA box is now box 13 on the 1099-MISC and
remaining boxes have been renumbered ...
For paper filers, the 2023 1099-MISC Copy B is due to your recipients by Jan. 31, 2024 (if box 8 & 10 are empty) or Feb. 15 (if filled); Copy A & 1096 are due by Feb. 28; or eFile by Apr. 1, 2024; New IRS eFile regulations require e-Filing for 10 or ...
$28.99
Per pack
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Displaying 25-48 of 2100

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