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Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)
Item #: 901-21701
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
$67.89
Per pack
($0.27/EACH)
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
$44.89
Per pack
($0.09/EACH)
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 1 RX Blank/Sheet, High Security, 500/Pack
Item #: 901-83405
Security features exceed industry guidelines and meet all Medicaid requirements
Void pantograph - the word "VOID" appears when form is photocopied
Chemical protection - stains or spots appear with chemical alteration
Medical Arts Press Pet Treatment Records (20557)
Item #: 901-20557
Type of form: Treatment record
250 per pack
Size: 8 1/2" x 11"
$50.99
Per pack
($0.20/EACH)
$66.89
Per pack
($0.27/EACH)
Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Item #: 901-20572
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
$65.79
1 pack
($0.26/EACH)
Save 5%
$61.99
2+ pack
($0.25/EACH)
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Item #: 901-20596
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® Progress Notes; Reinforced, Top Punched, 250/Pack (20555)
Item #: 901-20555
Provides plenty of room to record patient progress and your findings at subsequent visits
Record patient name, birth date and gender
Ruled back side
$84.99
Per pack
($0.34/EACH)
Adams 2-Part Carbonless Sales Orders, 8.44"L x 5.56"W, 50 Sets/Book (DC5805)
Item #: 901-196113
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 5.56"W x 8.44"L; detached: 5.56"W x 7.94"L
2-Part White/Canary Carbonless forms for accurate record keeping
$11.19
1-7 each
Save 10%
$9.99
8+ each
Adams 3-Part Carbonless Auto Repairs, 11.44"L x 8.5"W, 50 Sets/Book (GT3810)
Item #: 901-355834
Auto repair order forms provide space for all auto service jobs in detail
Size: 11.44"L x 8.5"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$30.79
Per pack
Medical Arts Press Dental Registration and History Form, 250/Pack (20605)
Item #: 901-20605
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)
Adams 2-Part Carbonless Sales Orders, 4.17"L x 7.2"W, 50 Sets/Book, 10/Box (DC4705-10)
Item #: 901-DC470510
Sales and order books are ideal for keeping proper records of orders and sales
Size: 7.19"L x 4.19"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$90.29
1-2 pack
($9.03/EACH)
Save 28%
$64.99
3+ pack
($6.50/EACH)
Wilson Jones Ledger Paper, 8.5" x 11", Ivory, 100 Sheets/Box (W901-10)
Item #: 901-42979
Designed for use in minute books, plain ledger sheets are long-lasting and versatile
Includes 28 lbs. ivory paper sheets
Includes 100 unruled, unnumbered sheets per box
$174.19
1-2 box
Save 8%
$158.99
3+ box
Adams 2-Part Carbonless Purchase Order, 8 3/8" x 11 7/16", 50 Sets/Book (DC8131)
Item #: 901-301655
2-part carbonless purchase order formbook in white, canary paper sequence
Consecutively numbered within each book
Space at top for company stamp
$21.19
1-9 each
Save 15%
$17.99
10+ each
Staples Columnar Books, 100 Pages, Green, 2/Pack (217844ABF)
Item #: 901-217844
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 4 columns
$21.19
Per pack
($10.60/EACH)
Medical Arts Press® Progress Notes, No Imprint, 250/Pack (21757NP)
Item #: 901-21757NP
Type of form: Progress note
250 per pack
Size: 8 1/2" x 11"
$48.89
Per pack
($0.20/EACH)
Medical Arts Press® Single Rx Blanks; Alter-Proof, Indiana, 1 Part
Item #: 901-16031P
Specifically designed to meet state requirements when prescribing controlled substances in Indiana
Printed on tamper-proof safety paper
Please specify doctor's name and State License and/or DEA numbers if desired
Staples Columnar Books, 100 Pages, 6 Columns, Green, 2/Pack (217869)
Item #: 901-217869
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 6 columns
$25.49
Per pack
($12.75/EACH)
Adams 3-Part Carbonless Work Orders, 8.44" x 5.56", 10 Sets/Book, /Box (TC5831-10)
Item #: 901-TC583110
Adams three-part purchase order books are perfect for recording transactions
Each color-coded set includes white, canary and pink forms for accurate record keeping
Each pack contains 10 books; containing 50 three-part sets each for a total of 500
$204.89
Per pack
($20.49/EACH)
Medical Arts Press® Continuation Notes, Blue, No Punch
Item #: 901-20134NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$69.09
Per pack
($0.14/EACH)
Medical Arts Press® Progress Notes, Horizontal and Vertical ID, Ivory
Item #: 901-20121NP
Type of form: Progress note
250 per pack
Size: 8 1/4" x 10 3/4"
$61.59
Per pack
($0.25/EACH)
Medical Arts Press Treatment Notes, Tooth #, Non-Imprinted, No Punch, 250/Pack (20560NP)
Item #: 901-20560NP
Type of form: Treatment note
250 per pack
Size: 8 1/2" x 11"
$54.19
Per pack
($0.22/EACH)
Dome Notary Public Record Book, 500-Entry, Red (880)
Item #: 901-880
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
$24.19
1-3 each
Save 17%
$19.99
4+ each
Adams 3-Part Carbonless Sales Orders, 4.19"L x 7.19"W, 50 Sets/Book, 10/Carton (TC4705-10)
Item #: 901-TC470510
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 7.19"L x 4.19"W
3-Part Carbonless forms for accurate record keeping
$83.79
Per pack
($8.38/EACH)
