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Medical Arts Press Dental Registration and Medical History Form, Spanish (20586)
Item #: 901-20586
Type of form: Dental registration and medical history form
250 per pack
Size: 8 1/2" x 11"
$34.69
1 pack
Save 7%
$31.99
2+ pack
Staples® Record Book, 300 Pages, Black (18658/26510)
Item #: 901-217695
Record book for keeping track of tons of information
Black cover with burgundy spine and corners for elegant look
Contains 300 numbered pages, faintly ruled with margin lines; 33 lines per page
$50.99
Per each
Adams Time Sheets, 100/Pad, 2 Pads/Pack (ABF 9507ABF)
Item #: 901-124495
Track weekly time, including morning, afternoon, and overtime using these time sheets
Number of parts: 1
Contains 100 sheets per pad, two pads per package
$13.89
Per pack
Quill Brand® Columnar Book, 3-Columns, 80 Pages, Blue Marble (18847/26516)
Item #: 901-217737
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with three columns per page, quad-ruled, 30 lines down per page
$13.29
Per each
Medical Arts Press Log of Hospital Visits, Pocket-Sized, 2-Part
Item #: 901-20029
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
$35.69
1 pack
Save 7%
$32.99
2+ pack
Rediform Visitors Log Book, 50 Pages, Multicolor (9G620)
Item #: 901-9G620
Place a visitor book in your lobby or reception area to welcome guests or log those who have visited your business
Wire-bound book features multicolor cover and pages with blue print on white ledger paper
Includes 50 pages with 20 lines per page that provide a space for 1000 entries
$16.29
1-2 each
Save 14%
$13.99
6+ each
Medical Arts Press® Financial Agreement and Insurance Assignment; 4x5-1/2" Bond Non-Personalized
Item #: 901-33404
100 sheets per pad
Pad size: 4 x 5-1/2 inches
$5.79
5+ pad
Medical Arts Press® Copy-Proof Rx Blanks; Carbonless Duplicate Books
Item #: 901-16019
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
ComplyRight Payroll Change Notice, 3-Part, Small, Pack of 50 (A2173)
Item #: 901-2548966
Includes ComplyRight™ tips for optimal, compliant use
Size: 5.5" x 8.5"
Pack of 50 forms
$112.29
1-3 each
Save 8%
$102.99
4+ each
National Canvas Tuff Series Accounting Journal, 12.13" x 7.63", Green, 250 Sheets/Book (A66500J)
Item #: 901-A66500J
Green canvas cover
Sewn binding allows book to open flat for writing
Numbered pages
$73.49
Per each
Medical Arts Press® Medications Form, Purple FormFamily™
Item #: 901-20645
Comprehensive form helps you monitor medication dosages, quantity, frequency, and refills
Printed in blue ink on white 24-lb. bond paper
Predrilled holes on top or side of form
$23.09
1 pack
Save 15%
$19.59
2+ pack
Medical Arts Press® Washington Tamper Resistant Prescription Pads; Standard 1-Part
Item #: 901-26531
Washington mandates that prescriptions are written on forms that meet tamper-resistant requirements and include the seal of approval
State map is heat sensitive to friction or heat, turning from green to yellow
"Dispense as written" and "Substitution permitted" signature lines
Medical Arts Press® Chiropractic Registration and History Forms, Holistic Care
Item #: 901-15165
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, severity
Also includes areas for onset, effect on daily activities, and conditions
$82.69
Per pack
Medical Arts Press® Dental Registration and History Form, English
Item #: 901-20129NP
Type of form: Dental registration and history form
250 per pack
Size: 8 1/2" x 11"
$56.09
Per pack
Medical Arts Press® Podiatry Registration and History Forms, Love Your Feet
Item #: 901-15143
Features personal and insurance information sections that enable you to set up your patient s account with ease
Contains a history section to provide chief complaint, current and past symptoms and previous podiatric treatment information
Size: 8-1/2x11"
$52.09
Per pack
Medical Arts Press Invoices, 500 Sets/Book, 509/Pack (19906A)
Item #: 901-19906A
Features Visa, Mastercard, Discover & American Express Logos
Easy-Tear Perforation Allows Top To Be Detached & Returned with Payment
Perforation Is 3.68 From top Of Statement
$48.99
Per pack
Medical Arts Press® Chiropractic Forms; Travel Card
Item #: 901-21704
Set Up In Popular S.O.A.P. Format of Subjective, Objective, Assessment & Plans
Allows Carryover Of Chief Complaints & Treatment
Printed On Both Sides to Track Up to 20 Visits On One Card
$38.79
1 pack
Save 7%
$35.99
2+ pack
Medical Arts Press® Privacy Practices Acknowledgement
Item #: 901-28984
One page
8-1/2x11"
Patient Documentation
$10.69
Per pack
Medical Arts Press® Take Home Instructions
Item #: 901-13870M
125 sheets per pack
Form size: 8-1/2" x 11"
$31.59
Per pack
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless- Custom
Item #: 901-13553
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® 2-Part Optical Rx Blanks; Carbonless, 4x5-1/2"
Item #: 901-16029
2-part carbonless Rx blanks for eye-care field with copies that can be torn out or stored in book
Standard refill instructions
Specify state license and/or DEA numbers, if desired
Quill Brand® Columnar Book, 12-Columns, 80 Pages, Blue Marble (18852/26519)
Item #: 901-217976
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with 12 columns per page, quad-ruled
$16.29
1-2 each
Save 7%
$14.99
3+ each
Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
Item #: 901-33018
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$20.59
Per pack
Medical Arts Press® Progress Notes; Purple FormFamily™
Item #: 901-20643
Record detailed chronological notes for ongoing patient care pertaining to illnesses, treatments, and progress
Printed in blue ink on white 24-lb. bond paper
2 Predrilled holes on top and 5 on the side
$52.09
1-3 pack
Save 21%
$40.99
4+ pack
