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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
$19.59
Per pack
Solid Color Laser Statements, Style B, with Credit Card Information, Blue
Item #: 550-33176A
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
$26.80
Per pack
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
$55.09
Per pack
Medical Arts Press® Progress Notes; Reinforced, Top Punched, 250/Pack (20555)
Item #: 369-20555
Provides plenty of room to record patient progress and your findings at subsequent visits
Record patient name, birth date and gender
Ruled back side
$81.69
Per pack
Medical Arts Press Replacement Day Sheet Forms; Bond, Format S1 (WJM11)
Item #: 369-20527
Replacement day sheet forms
Number of parts: One
50/Pack
$43.89
2+ pack
Medical Arts Press® Tamper-Resistant Secure Rx Blanks; Single Sheet
Item #: 901-15970
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
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
$28.29
Per each
Medical Arts Press Pet Treatment Records (20557)
Item #: 369-20557
Type of form: Treatment record
250 per pack
Size: 8 1/2" x 11"
$48.99
Per pack
ComplyRight 1-Part Confidential Employee Record Folder, 25/Pack (A0503)
Item #: 550-2549341
Comprehensive employee record folder helps to ensure the safety of private employee data
Number of parts: 1
Contains 25 files per package
$62.00
Per each
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
Verification Box - Hold marked area between thumb and forefinger, or breathe on heat-sensitive box, the color will disappear, then reappear
Coin Reactant Ink - Rub the Rx mark on left with a coin. Ink will turn from white to gray
MicroPrint - The right and left side rules of the large box on the front have the word "security" in microPrint. Can be viewed with magnifying glass
TOPS Employee Record Master File, 20/Pack (TOP 3280)
Item #: 550-3280Q
Employee personal file includes all you need to build a complete employee record
20 personal files per pack
Comes in manila color with blue ink
$24.18
Per pack
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
$13.95
Per each
TOPS Money/Rent Receipt Book, 5.25" x 11", White/Canary, 50 Sheets/Book (4161)
Item #: 550-745083
Use this receipt book for rent payments or any other type of payment
Original form is white with blue and red ink and canary duplicate with a black/white image
50 pages with four perforated two-part carbonless forms per page
$11.40
Per pad
Medical Arts Press® Progress Notes, No Imprint, 250/Pack (21757NP)
Item #: 369-21757NP
Type of form: Progress note
250 per pack
Size: 8 1/2" x 11"
$46.99
Per pack
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Item #: 550-519727
Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Contains 2500 forms per carton
$86.29
Per carton
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 550-2408453
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
$20.49
Per pack
Medical Arts Press® Copy-Proof Rx Blanks, Single Sheet Pads
Item #: 901-16015
6 security features comply with CMS 10/1/08 Tamper Resistant Requirements for Medicaid
Copy-proof Rx blanks feature a blue pattern background; "void" pantograph appears when copied
Micro-print signature line helps prevent counterfeiting and states security when viewed through a magnifying glass; security band lists security features
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
Solid Color Laser Statements, Style D, without Credit Card Information, Purple
Item #: 550-30465C
Solid Color Style D Purple without Credit Card Information Laser Statements
Size: 8.5 X 11 inch
500/Package
$25.00
Per pack
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 2 RX Blanks/Sheet, High Security, 500/Pack (SECR1PLBK)
Item #: 901-83401
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
Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)
Item #: 550-9287
The employee personnel file folder is complete with space for any case
Number of parts: 1
Contains 20 per pack for bulk purchasing
$8.97
Per pack
Solid Color Laser Statements, Style D, without Credit Card Information, Teal
Item #: 550-30465D
Solid Color Style D Laser Statements
Size: 8.5 X 11 Inch
500/Package
$27.14
Per pack
Medical Arts Press® Chiropractic Registration and History Form
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
Adams 2-Part Carbonless Sales Orders, 4.17"L x 7.2"W, 50 Sets/Book, 10/Box (DC4705-10)
Item #: 550-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
$30.93
Per pack
