Page 6 of replacement superbill forms
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Tax Forms (177) -
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and up (556) -
and up (648) -
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Clinical (6) -
Laser Checks (316) -
1-Color (255) -
Standard (193) -
2-Color (168) -
Premium (137) -
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Blank Check Stocks (36) -
Documentation (35) -
Deposit Slips (31) -
Continuous Checks (26) -
Business Checks (22) -
Billing (18) -
Agreements (15) -
Insurance (9) -
Design Your Own (8) -
Charge Slip (7) -
Prescription Pads (7) -
Referral (6) -
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Sales (4) -
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Medical Chart (41) -
Middle Check (184) -
Top Check (106) -
Horizontal (95) -
3-Up Check (60) -
Single Sheet (15) -
Bottom Check (14) -
Money & Rent Receipt Books (12) -
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Medical Authorization Form (8) -
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Pet Health Record (6) -
Carbonless Sales (5) -
Sales Book (4) -
Service (4) -
Statement (3) -
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Medical Arts Press® Progress Notes; Purple FormFamily™
Item #: 901-20643
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
ComplyRight Payroll Change Notice Forms (AR0394)
Item #: 901-712138
Item #: 901-712138
Ensures all employees have updated, current payroll records
Size: 8 1/2" X 11"
50 per pack
Adams Living Will & Health Care POA Forms and Instructions Kit, 11.69" x 8.88" (ABF K306)
Item #: 901-572455
Item #: 901-572455
These forms are simple to use, easy to understand, and a great way to express your choice of when to discontinue treatment and life support
White primary page coloring with black ink on the form
Contains forms and instructions with carbon duplicate and their digital copies on a CD
ComplyRight Employee Separation Forms (AR0373)
Item #: 901-712163
Item #: 901-712163
50 Pack
Size: 81/2” x 11”
8 1/2" x 11"
Medical Arts Press® Dental Registration and History Form, Welcome, Toothbrush, Teal Design, No Punch
Item #: 901-20582NP
Item #: 901-20582NP
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
Custom Multi-Purpose Register Form, Classic Design, Small Format, 2 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D6092
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Compatible with 4 x 6" portable registers
7 lines enable most orders to fit on a single form
Custom Multi-Purpose Register Form, Classic Design, Small Format, 3 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D6093
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Compatible with 4 x 6" portable registers
7 lines enable most orders to fit on a single form
ComplyRight™ 50-State Job Application (Long Form), Pack of 50 (A0019)
Item #: 901-1949613
Item #: 901-1949613
Written by Employment Attorneys to ensure compliance in all 50 states
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
Medical Arts Press® Washington Laser Prescription Forms; Non Personalized
Item #: 901-26536
Item #: 901-26536
Medical Arts Press® Dental Registration and History Form; Purple and Teal Design
Item #: 901-20579
Item #: 901-20579
Adams Preprinted Wills Forms, 11"H x 8.5"W (K307)
Item #: 901-572459
Item #: 901-572459
Last Will and Testament legal forms are simple to use and easy to understand
White primary page coloring
One kit includes necessary forms, instructions, and information
Custom Welcome Registration and History Forms, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFN117541R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in burgandy ink
Custom Dental Registration Forms, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFW2055801
Includes complete personal and insurance information, and assignment and release for easy account set up
8-1/2" W x 11" L
White 24# bond stock, pre-printed in black and blue ink
Custom Multi-Purpose Register Form, Colors Design, Small Format, 3 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D609T3
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 4 x 6" portable registers, sold separately
Custom 2-Sided Dental Registration and History Forms, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFN105121R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
Custom Multi-Purpose Register Form, Colors Design, Large Format, 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D610T3
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
Custom Multi-Purpose Register Form, Classic Design, Large Format, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D6102
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
Custom Multi-Purpose Register Form, Colors Design, Large Format, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D610T2
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
Custom Multi-Purpose Register Form, Classic Design, Large Format, 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D6103
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
Custom Full Color 3-Part Carbonless Form, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFN13NAVQ
Design your own forms using your own artwork
8-1/2" W x 11" L
3-part, white/canary/pink, carbonless
Custom Carbonless CMS Forms, 8-1/2" x 11", 100 Sheets per Pad
Item #: 901-QFW1471901
For use by all medical facilities for billing insurance companies, Medicaid and Medicare; aligned with the electronic HIPAA ASC X12N 837 Non-institutional Transaction Standard
8-1/2" W x 11" L
1-part, white, carbonless; carbon paper is required for duplicates
Custom Repair Order Forms - Jewelry Repair Orders with Poly Bag, 3 Parts, 1 Color Printing, 4 3/16" x 7 5/8", 200/Pack
Item #: 901-D3223
Third part has adhesive on back for attaching poly bag - helping you stay organized
Resealable, heavy-duty clear plastic bags (5 x 8") attach to forms and keep jewelry and repair order together
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
Item #: 901-33018
Item #: 901-33018
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
Custom Florist Register Form, Colors Design, Large Format, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D672T2B
Get the details: Shows so much more than a cash register receipt
Keep accurate records: Choice of different layouts for tax and delivery options
Work smarter: Compatible with our registers (sold separately)
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