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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® 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)
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
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)
Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531)
Item #: 901-2678549
Confidentially sign in your patients with patient sign-in label forms
One-part patient sign-in label forms
Contains 125 sheets per pack for bulk purchasing
$79.09
Per pack
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® Tamper-Resistant Personalized Laser Rx Paper; Secure
Item #: 901-10719
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
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)
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® 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)
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)
TOPS 2-Part Carbonless Purchase Requisitions, 7.94"L x 5.56"W, 50 Sets/Book (46140)
Item #: 901-377687
Purchase order books are designed to help you write orders memos in a clear manner
Business form size: 7.94"L x 5.56"W; detached form size: 5.56"L x 7.94"W
2-Part Carbonless forms for accurate record keeping
$20.19
Per box
($0.40/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)
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
$35.09
Per pack
($0.14/EACH)
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
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
$7.59
1-5 each
Save 7%
$6.99
6+ each
Medical Arts Press Treatment Notes, Tooth Diagram, Non-Imprinted, No Punch
Item #: 901-21150NP
Set per pack (uom): 250 per pack
Size: 8 1/2" x 11"
Dental exam chart format
$51.99
Per pack
($0.21/EACH)
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
$25.29
1-2 each
Save 5%
$23.99
3+ each
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)
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)
Adams 2-Part Carbonless Sales Orders, 5.63"L x 3.34"W, 50 Sets/Book, 10/Pack (DC3510)
Item #: 901-DC3510
General-purpose sales book is ideal for use when receipt or guest check needs to be written
Business form size: 5.63"L x 3.34"W; detached form size: 5.13"L x 3.34"W
2-Part Carbonless forms for accurate record keeping
$25.49
Per pack
($2.55/EACH)
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
$16.89
Per pack
($0.84/EACH)
Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
$60.49
Per pack
($0.24/EACH)
Rediform 2-Part Carbonless Driver's Daily Logs, 9.13"L x 5.5"W, 31 Sets/Book (REDS5031NCL)
Item #: 901-REDS5031NC
Driver's daily log book is providing plenty of space to record driving time
Size: 9.13"L x 5.5"W
Features 2-part format that allows you to keep a permanent copy for your records
$12.69
1-10 each
Save 5%
$11.99
11+ each
