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Item # 901-20642
Medical Arts Press
8 1/2" x 11"
11
8.5
Purple
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Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns, 50 Sheets/Pad, 10 Pads/Pack (95141)
Item #: 369-745804
20-lb. ledger green paper
50 numbered lines, every fifth horizontal line heavily ruled as line guide
10,000,000 units per column
$68.99
Per pack
($6.90/EACH)
Staples Columnar Book, 50 Pages, Green (217885)
Item #: 550-217885
Columnar book is ideal for accounting and record keeping
Green-tinted paper with green and black lines
Includes 50 pages with 12 columns
$17.29
Per each
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Item #: 369-20596
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$57.29
Per pack
($0.23/EACH)
Medical Arts Press Registration Forms without Updates Section ; Brush Silhouette
Item #: 369-21786
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Silhouetted toothbrush design welcomes patients
Printed in 1-color on two sides on 24-lb. white bond paper
$56.29
Per pack
($0.23/EACH)
Medical Arts Press Dental Registration and History Form, 250/Pack (20605)
Item #: 369-20605
Form allows you to gather complete information from patients
Simple to fill out with individually numbered sections
Includes sections on patient information, insurance, history and more
$52.99
Per pack
($0.21/EACH)
Staples Columnar Books, 100 Pages, Green, 2/Pack (217844ABF)
Item #: 550-217844
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 4 columns
$20.29
Per pack
($10.15/EACH)
Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)
Item #: 550-21701
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
Also features areas for severity, onset, effect on daily activities, and co
$25.49
Per pack
($0.10/EACH)
Staples Record Book, Black, 300 Sheets/Book (217919)
Item #: 550-217919
Record book for keeping track of tons of information
Black cover with burgundy spine and corners features gold-stamped title for elegant look
Contains 300 numbered pages, faintly ruled with margin lines, 40 lines per page
$29.29
Per each
Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Item #: 369-20572
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
Also features areas for severity, onset, effect on daily activities, and co
$61.99
Per pack
($0.25/EACH)
Staples Columnar Books, 100 Pages, 6 Columns, Green, 2/Pack (217869)
Item #: 550-217869
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 6 columns
$20.89
Per pack
($10.45/EACH)
Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 369-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
$60.49
Per pack
($0.24/EACH)
Dome Notary Public Record Book, 500-Entry, Red (880)
Item #: 550-880
Easy-to-use, compliant, and comprehensive notarial record keeping system for households and individuals
Red cover for incredible look
Sewn and numbered pages for added security
$16.91
Per each
New Customers
Wilson Jones Minute Record Book, 9.3"W x 11.6"H, Black, 250 Sheets/Book (W0395-11)
Item #: 550-2660936
Black handbound imitation leather cover with gold-tooled spines
Includes 250 letter-size sheets: 8.5"W x 11"L
Overall dimensions: 9.3"W x 11.6"H x 1.7"D
$207.24
Per each
Medical Arts Press Registration Form; Smile Team
Item #: 369-21784
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
$67.99
Per pack
($0.27/EACH)
Rediform Gold Standard 2-Part Carbonless Receipts Book, 5"L x 2.75"W, 225 Forms/Book (8L829)
Item #: 550-8L829
Receipt book is consecutively numbered for easy organization
Business form size: 5"L x 2.75"W
2-Part Carbonless forms for accurate record keeping
$20.49
Per each
National Brand Canvas Tuff Series Record Book, 7.63" x 12.13", Green, 150 Sheets/Book (A66300R)
Item #: 550-A66300R
Book for records and daily schedules
Canvas hardcover in green
Includes 300 numbered pages with blue ruling and margin
$21.84
Per each
Staples 13 Columns Columnar Book, 16.31"W x 11"H, Green (217893)
Item #: 550-217893
Green tinted paper
Includes 50 single-format pages with 13 columns
Overall dimensions: 16.31"W x 11"H
$18.49
Per each
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Item #: 369-20743
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
Screens for artificial heart valves, artificial joints, heart
$66.89
Per pack
($0.27/EACH)
National Texhide Series Record Book, 8.75" x 14.25", Black, 150 Sheets/Book (57131)
Item #: 369-57131Q
This record book is designed to document your important events and personal accomplishments
Black leather-like book cover with burgundy spine and corners includes pages of recycled green paper
Includes 300 numbered pages with 44 lines per page
$61.59
Per each
Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)
Item #: 550-217745
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with four columns per page, quad-ruled
$24.69
Per each
Wilson Jones Columnar Sheets, Ledger Paper, Ruled, 30 Lines, 6 Columns, Green Paper, 9 1/4" x 11 7/8", 100/Pk
Item #: 550-508497
9 1/4" x 11 7/8"
100 sheets
30 lines per page, 6 columns
$45.34
Per pack
Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)
Item #: 369-217976
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with 12 columns per page, quad-ruled
$15.99
Per each
Medical Arts Press Eye Care Registration Form (20571)
Item #: 369-20571
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$66.89
Per pack
($0.27/EACH)
Adams® Home and Office Budget Record Journal, Ruled, Blue (AFR31)
Item #: 550-584361
Paper is white and blue in color, and the cover is made of polypropylene
30 sheets featuring 64 forms
Dimensions: 10" x 7"
$14.65
Per each
