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Medical Arts Press® Medications Form, Purple FormFamily™
Item #: 901-20645
Comprehensive form helps you monitor medication dosages, quantity, frequency, and refills
Printed in blue ink on white 24-lb. bond paper
Predrilled holes on top or side of form
$38.99
1 pack
Save 17%
$31.99
2+ pack
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 510/Pack (19906B)
Item #: 901-19906B
Features Visa, Mastercard, Discover & American Express Logos
Easy-Tear Perforation Allows Top To Be Detached & Returned with Payment
Perforation Is 3.68 From top Of Statement
$41.99
Per pack
Medical Arts Press Invoices, 500 Sets/Book, 509/Pack (19906A)
Item #: 901-19906A
Features Visa, Mastercard, Discover & American Express Logos
Easy-Tear Perforation Allows Top To Be Detached & Returned with Payment
Perforation Is 3.68 From top Of Statement
$41.99
Per pack
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 508/Pack (19906C)
Item #: 901-19906C
Perforation Is 3-11/16 From top Of Statement
Back Print Includes Area For Updating Patient Information to Help Keep Files Current
Size: 8.5 x 11 inch
$43.99
Per pack
Solid Color Laser Statements; Style A, with Credit Card Information, Blue
Item #: 901-30471D
Light Blue Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3.68 From top Of Sheet
$42.99
Per pack
Solid Color Laser Statements, Style D, without Credit Card Information, Blue
Item #: 901-30465A
Solid Color Style D Laser Statements
Size: 8.5 X 11 inch
500/Package
$38.99
Per pack
Solid Color Laser Statements; Style A, with Credit Card Information, Purple
Item #: 901-30471C
Light Purple Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3.68 From top Of Sheet
$41.99
Per pack
Solid Color Laser Statements; Style B, with Credit Card Information, Blue
Item #: 901-33176A
Credit Card Alert Helps Speed Payment - Visa & Mastercard only
Includes Patient Update
Easy-Tear Perforation Is 3.68" From top for Removal Of White Payment Stub
$42.99
Per pack
Solid Color Laser Statements; Style B, with Credit Card Information, Teal
Item #: 901-33176D
Credit card alert helps speed payment - VISA and MasterCard only
Includes patient update
Easy-tear perforation is 3-11/16" from top for removal of white payment stub
$42.99
Per pack
Solid Color Laser Statements; Style A, with Credit Card Information, Teal
Item #: 901-30471A
Light Teal Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3-11/16 From top Of Sheet
$42.99
Per pack
Solid Color Laser Statements, Style D, without Credit Card Information, Teal
Item #: 901-30465D
Solid Color Style D Laser Statements
Size: 8.5 X 11 Inch
500/Package
$38.99
Per pack
Solid Color Laser Statements, Style D, without Credit Card Information, Purple
Item #: 901-30465C
Solid Color Style D Purple without Credit Card Information Laser Statements
Size: 8.5 X 11 inch
500/Package
$38.99
Per pack
Standard Claim Right Window Envelopes, 4.5 x 9.5, Self-Seal, 500/Box
Item #: 901-1500ESMAP
Specially designed window envelopes fit CMS 1500 claim forms when tri-folded
All envelopes have confidential lining for added security
Compatible with laser printers
$106.99
Per box
Medical Receipt Books; Blank
Item #: 901-MRB109NI
Keep a permanent record of patient payments in chronological order
3-parts; parts one & two are perforated, part three remains in book as permanent record
Includes insert to prevent write-through
2003, 2004, 2006 & 2012 ADA Dental Window Claim Envelopes, Peel & Seel, Tinted, Non-Pers., 500/Box (88532)
Item #: 901-35287NI
Designed for Use with Medical Arts Press Dental Claim Form
24 Lbs. White-Wove Stock with Security Tint
Convenient Closure Makes Sealing Jobs Quick and Easy
$49.99
Per box