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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
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041)
Item #: 550-24617598
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
$58.29
Per pack
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
TOPS 2-Part Carbonless Purchase Requisitions, 7.94"L x 5.56"W, 50 Sets/Book (46140)
Item #: 550-377687
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
$15.63
Per box
Adams 2-Part Carbonless Receipts, 2.75"L x 7.13"W, 200 Sets/Book (DC1182)
Item #: 550-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
$17.40
Per each
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
Better Office 2-Part Carbonless Sales Order Book, 5.44" x 8.44", 50 Sets/Book, 6 Books/Pack (66106-6PK)
Item #: 550-24558002
Sales order book is a convenient way to stay organized and track all customer transactions in your business
Form size: 5.44" x 8.44"
Each carbonless two-part set features a white top sheet for recording each transaction and a bottom canary yellow sheet that captures written text from the top sheet
$19.99
Per pack
Staples 13 Columns Columnar Book, 16.31"W x 11"H, Green (217893)
Item #: 550-217893
Green tinted paper
Includes 50 single-format pages with 13 columns
Overall dimensions: 16.31"W x 11"H
$18.49
Per each
ComplyRight 1-Part Personnel Folder, 25/Pack (A222)
Item #: 369-1949183
Expandable confidential personnel folder protects legally sensitive information
One-part personnel folder
Contains 25 files per package
$112.99
Per each
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
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
Medical Arts Press Treatment Notes, Tooth Diagram, Non-Imprinted, No Punch
Item #: 369-21150NP
Set per pack (uom): 250 per pack
Size: 8 1/2" x 11"
Dental exam chart format
$51.99
Per pack
Adams 2-Part Carbonless Sales Orders, 5.63"L x 3.34"W, 50 Sets/Book, 10/Pack (DC3510)
Item #: 550-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
$19.49
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
Medical Arts Press Progress Notes; Standard 2-Hole Punch (20585RL)
Item #: 369-20585NP
60 lb. stock
For custom punch order item # 20585
250 per package
$82.99
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® Registration Forms without Updates Section ; Brush Silhouette
Item #: 369-21786
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Silhouetted toothbrush design welcomes patients
Printed in 1-color on two sides on 24-lb. white bond paper
$56.29
Per pack
Adams 2-Part Carbonless Invoices, 5.5625" x 8.4375", 50 Sets/Book (DC5840)
Item #: 550-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
$5.97
Per each
Solid Color Laser Statements; Style A, with Credit Card Information, Purple
Item #: 550-30471C
Light Purple Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3.68 From top Of Sheet
$27.79
Per pack
Adams 2-Part Carbonless Work Orders, 5.5625" x 8.4375", 10 Sets/Book, /Box (DC5805-10)
Item #: 369-DC580510
Sales orders book to keep accurate records
White pages to create originals and canary pages for copies
Pack of 10.
$89.99
Per pack
TOPS 3-Part Carbonless Purchase Requisitions, 8.38"L x 10.69"W, 50 Sets/Book (46147)
Item #: 550-388374
Purchase-order books are designed to help you write order memos in a clear manner
Business-form size: 8.38"L x 10.69"W; detached: 8.38"L x 10.19"W
3-Part Carbonless forms for accurate record keeping
$20.08
Per box
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
$10.21
Per pad
Rediform Texhide Record Book, 500 Pages, Black (57151)
Item #: 550-57151
Book for records and daily schedules
Black leather-like cover with burgundy spine and corners
Includes 500 numbered pages with green and brown ruling
$69.28
Per each
TOPS Job 3-Part Carbonless Work Orders, 8.62"L x 5.67"W, 50 Sets/Book (3868)
Item #: 550-3868
Job work-order forms designed to provide a space for work, costs, and totals
Business-form size: 8.62"L x 5.67"W
3-Part Carbonless forms for accurate record keeping
$18.22
Per pack
