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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
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)
Adams 2-Part Carbonless Work Orders, 5.5625" x 8.4375", 10 Sets/Book, /Box (DC5805-10)
Item #: 901-DC580510
Sales orders book to keep accurate records
White pages to create originals and canary pages for copies
Pack of 10.
$98.59
1-2 pack
($9.86/EACH)
Save 26%
$72.99
3+ pack
($7.30/EACH)
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 1 Part Employee Personal Files, 20/Pack (9287ABF)
Item #: 901-9287
The employee personnel file folder is complete with space for any case
Number of parts: 1
Contains 20 per pack for bulk purchasing
Money Receipt Forms, Carbonless, 3 Part, Hard Cover, 2-3/4" x 7", 200 Sets/Book (RED8L818)
Item #: 901-864876
Duplicates print black
NOTE ON NUMBERED FORMS: Sorry, but we are unable to fill requests for a specific number series
Safety tint on original rubs off if erased
Staples Record Book, Black, 300 Sheets/Book (217919)
Item #: 901-217919
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
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
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
Rediform® Spiralbound Unnumbered Money Receipt Book, 2 3/4 x 7, Each (S16444W-CL)
Item #: 901-377382
Brand: Rediform®
Manufacturer: Rediform Office Products
Business Form Type: Receipts
Medical Arts Press Registration Form; Smile Team
Item #: 901-21784
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
$80.29
1 pack
($0.32/EACH)
Save 7%
$74.79
2+ pack
($0.30/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
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Item #: 901-519727
Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Contains 2500 forms per carton
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
ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)
Item #: 901-2548999
Lets you record basic information on the outside, confidential data on the inside
Comes in distinctive blue color to distinguish medical records from other personnel file
Attorney developed and approved to ensure 100% compliance
ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
Item #: 901-24602227
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074043)
Item #: 901-24617597
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
Item #: 901-24581404
This CMS-1500 jumbo health care billing envelope helps reduce processing delays
500 envelopes per box
Form size: 9" x 12.5"
Rediform Gold Standard 2-Part Carbonless Receipts Book, 5"L x 2.75"W, 225 Forms/Book (8L829)
Item #: 901-8L829
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
TOPS Receipts, 2.75"L x 7.13"W, 100/Pack (46808)
Item #: 901-46808
Money receipt book is consecutively numbered for easy organization
Envelopes are not included
Business form size: 2.75"L x 7.13"W; sheet size: 10.88"L x 7.63"W
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
Rediform Driver's Daily Log Book, 2 Part Carbon, 5 1/2" x 7 7/8", 31 Sets per Book
Item #: 901-421004
31 sets per book
2 part
Handy book format provides space to record off-duty, sleeper berth, driving and on-duty time
Medical Arts Press Replacement Day Sheet Forms; Bond, Format S1 (WJM11)
Item #: 901-20527
Replacement day sheet forms
Number of parts: One
50/Pack
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
