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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
Adams 3-Part Carbonless Sales Orders, 7.19"L x 4.19"W, 50 Sets/Book (TC4705)
Item #: 901-196105
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 7.19"L x 4.19"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
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
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
$76.29
1 pack
($0.31/EACH)
Save 6%
$71.99
2+ pack
($0.29/EACH)
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Item #: 901-16035
Tamper-resistant Rx pad features 5 security features
Alter-proof blue pattern background to ensure there are no erasures or modifications of information - look and regulations may vary state to state
Void Pantograph — the word "void" will appear when photocopied
TOPS Employee Record Master File, 20/Pack (TOP 3280)
Item #: 901-3280Q
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
$34.39
1-3 pack
($1.72/EACH)
Save 4%
$32.99
4+ pack
($1.65/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
Adams 2-Part Carbonless Purchase Requisitions, 8.44"L x 5.56"W, 50 Sets/Book (DC5831)
Item #: 901-DC5831
Keep a bound copy for a permanent record using this purchase requisitions
Business form size: 8.44"L x 5.56"W; detached form size: 5.56"L x 7.94"W
2-Part Carbonless forms for accurate record keeping
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
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
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
Item #: 901-24617599
Patient Bilingual Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
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
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)
Item #: 901-24617595
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
Adams 2-Part Carbonless Receipts, 2.75"L x 7.13"W, 200 Sets/Book (DC1182)
Item #: 901-DC1182
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 7.13"W; page size 11"L x 7.63"W
2-Part Carbonless forms for accurate record keeping
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
Adams 2-Part Carbonless Receipt Book, 5.38" x 2.75", White/Canary, 50 Sheets/Pad (DC2501)
Item #: 901-DC2501
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 5.38"W; detached 2.75"L x 4.88"W
2-Part Carbonless forms for accurate record keeping
ComplyRight Personnel Folder, 6-Part , 25 Forms/Pack (A1175)
Item #: 901-1949186TFP
Expandable organizer offers convenient, comprehensive record-keeping
Contains six different file folders per organizer
Contains 25 organizers per package including one outer jacket and six tabbed folders each
Wilson Jones Ledger Paper, Balance Ledger, 9 1/4" x 11 7/8", Green, 100 Sheets (WLJGN2D)
Item #: 901-GN2D
9 1/4" x 11 7/8"
100 sheets
Balance ledger
Adams 2-Part Carbonless Invoices, 5.5625" x 8.4375", 50 Sets/Book (DC5840)
Item #: 901-DC5840
Invoice book for keeping financial records of sales
White sheets for originals and canary for copies
Pack of one containing 50 invoices per book
TOPS Money/Rent Receipt Book, 5.25" x 11", White/Canary, 50 Sheets/Book (4161)
Item #: 901-745083
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
Medical Arts Press® Single Copy Rx Blanks; Vertical, Alter-Proof
Item #: 901-16034
Tamper-resistant Rx pad features 5 security features; meets October 1st 2008 Medicaid Requirements
Alter-proof blue pattern background to ensure there are no erasures or modifications of information
Void Pantograph — the word "void" will appear when photocopied
ComplyRight™ Confidential Personnel File Folder, Pack of 25 (A221)
Item #: 901-2549002
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Outside of folder tracks employment history, termination and COBRA information and inside has ample space to file and keep important employee information
TOPS 3-Part Carbonless Bill of Lading, 8.5"L x 7"W, 50 Sets/Book (3841)
Item #: 901-3841
Bill of lading form to ensure all your shipments arrive with the appropriate paperwork
Size: 8.5"L x 7.63"W; detached: 8.5"L x 7"W
3-Part Carbonless forms for accurate record keeping
Adams Receipt Book, 7.19" x 2.75", White/Canary, 250 Sheets/Book, 5/Pack (DC2701)
Item #: 901-266890
Money and rent receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 7.19"W; detached: 2.75"L x 6.69"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
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
