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Staples® Columnar Books, 100 Pages, 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
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
Relizon Chargeable Time Control Journal, 20 Sets/Pack (WCTS4)
Item #: 369-WCTS4
Not imprintable
25 preshingles slips/journal sheet
Used with a portable binder
$122.99
Per box
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
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
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
$73.55
Per carton
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 4 RX Blanks/Sheet, High Security
Item #: 901-83406
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 3-Part Carbonless Sales Orders, 4.19"L x 7.19"W, 50 Sets/Book, 10/Carton (TC4705-10)
Item #: 550-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
$32.40
Per pack
Medical Arts Press Pet Treatment Records (20557)
Item #: 369-20557
Type of form: Treatment record
250 per pack
Size: 8 1/2" x 11"
$50.99
Per pack
Medical Arts Press® Dental Treatment Record Form; 2-Sided
Item #: 369-20608
Ideal for practices that prefer not to record fees on their treatment notes
Form includes basic patient information
Two-sided with back of form ruled
$55.19
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
$13.60
Per each
Solid Color Laser Statements; Style A, with Credit Card Information, Teal
Item #: 550-30471A
Light Teal Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3-11/16 From top Of Sheet
$34.69
Per pack
Medical Arts Press® Progress Notes Patient Care Form; Green FormFamily™
Item #: 369-20381
Records detailed chronological notes of ongoing patient care for illnesses, treatments and progress
Helps you conform to NCQA & JCAHO guidelines
2-hole punched at top, 5-hole punched on left side
$43.99
Per pack
Adams 2-Part Carbonless Receipt Book, 5.38" x 2.75", White/Canary, 50 Sheets/Pad (DC2501)
Item #: 550-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
$5.14
Per each
Medical Arts Press Log of Hospital Visits, Pocket-Sized, 2-Part
Item #: 369-20029
Updated with New 2010 Consult Codes and Helpful Chart on Inside Front Cover
Make A Check Mark Or Write In The Level Of Code for Each Patient Visit
When Patient Is Discharged, Detach and Give to Billing - It S Virtually Foolproof
$34.99
Per pack
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
Adams 2-Part Carbonless Purchase Requisitions, 8.44"L x 5.56"W, 50 Sets/Book (DC5831)
Item #: 550-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
$5.63
Per each
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
$27.79
Per pack
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
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"
$48.89
Per pack
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
$12.30
Per pack
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
$28.61
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
TOPS Receipts, 2.75"L x 7.13"W, 100/Pack (46808)
Item #: 550-46808
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
$14.99
Per each
