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Medical Arts Press Dental Registration and Medical History Form, Ledger Stock, 250/Pack (20128RL)
Item #: 369-20128MAP
Type of form: Dental registration and medical history form
250 per pack
Size: 8 1/2" x 11"
$57.29
Per pack
($0.23/EACH)
Medical Arts Press Dental Registration and Treatment Form, 4-Pages
Item #: 369-20551
Type of form: Registration and treatment form
250 per pack
Size: 8 1/2" x 11"
$71.99
Per pack
($0.29/EACH)
Medical Arts Press® Tamper-Resistant Laser RX Blanks; 1 RX Blank/Sheet, Indiana
Item #: 901-PRES1LIN
Blank Format, Top Left Location
Meets Indiana Requirements
Security Features include: blue void pantograph, security backprinting, reverse Rx symbox, checkboxes
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (33176D)
Item #: 369-33176D
Credit card alert helps speed payment - VISA and MasterCard only
Includes patient update
Easy-tear perforation is 3-11/16" from top for removal of white payment stub
$45.99
Per pack
($0.09/EACH)
Medical Arts Press Comprehensive Examination Form (21700)
Item #: 369-21700
4-page document records clinical detail from a patient's comprehensive exam
Includes sections to record results from clinical tests
Includes top 25 ortho/neuro tests
$77.49
Per pack
($0.31/EACH)
Staples Record Book, 300 Pages, Black (18658/26510)
Item #: 550-217695
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
$39.09
Per each
Staples Dollar and Cent Accounting Journal, 144 Pages, Brown (182022ABF)
Item #: 550-182022
This accounting journal is designed to document your cash flow and finances
Comes with brown cover and includes pages of white paper with blue and red lines
Compact book provides 144 pages with single-entry ledger rulings
$8.19
Per each
Medical Arts Press Treatment Notes, 1-Part, Buff, 8 1/2" x 11", 250/Pack
Item #: 369-20262
Type of form: Treatment note
250 per pack
Size: 8 1/2" x 11"
$47.69
Per pack
($0.19/EACH)
Medical Arts Press® Contact Lens Rx Blanks; 2-Part
Item #: 901-15586
Conforms to all new requirements of federal Fairness to Contact Lens Consumers Act (FCLCA)
Option to include customer warning regarding need for periodic eye exams (required in some states)
Black print on white stock
Medical Arts Press® Veterinary Animal Record Progress Notes, Narrow Ruled
Item #: 369-20475
Type of form: Veterinary progress note
250 per pack
Size: 8 1/2" x 11"
$44.59
Per pack
($0.18/EACH)
Medical Arts Press Welcome Registration Form, Paw Print in Middle
Item #: 369-20630
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$50.99
Per pack
($0.20/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
$41.99
Per pack
($4.20/EACH)
Medical Arts Press FormFamily Periodontal Exam Form (20607)
Item #: 369-20607
Type of form: Periodontal exam form
250 per pack
Size: 8 1/2" x 11"
$52.99
Per pack
($0.21/EACH)
Staples Record Book, 7.25"W x 11.75"H, Blue Marble, 300 Sheets/Book (886673)
Item #: 550-886673STP
Blue marble hardcover with silver foil stamped title
Includes 300 numbered pages, features blue and red lines
Overall dimensions: 7.25"W x 11.75"H
$51.89
Per each
Medical Arts Press® Progress Notes; Purple FormFamily™
Item #: 369-20643
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
$42.99
Per pack
($0.17/EACH)
Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)
Item #: 369-217976
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with 12 columns per page, quad-ruled
$15.99
Per each
Medical Arts Press Registration Forms Featuring Updates Section/Two Clear Toothbrushes
Item #: 369-35064
Thorough questions help patients provide complete information on background, insurance, phone numbers, dental and health history, medications, and allergies
Improved forms increase practice efficiency
Captures adolescent patient information: minor check box; school name, address, phone; dependent insurance coverage
$78.49
Per pack
($0.31/EACH)
Medical Arts Press Dental Registration and History Form, Welcome, Toothbrush, Teal Design, No Punch
Item #: 369-20582NP
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
$55.19
Per pack
($0.22/EACH)
Medical Arts Press® Washington Laser Prescription Forms; Non Personalized
Item #: 901-26536
Security Features Include:
VOID pantograph, thermochromic ink, state seal in lower right-hand corner, microprint signature line and a watermark in opaque ink.
Medical Arts Press Dental Registration and History Form, English
Item #: 369-20129NP
Type of form: Dental registration and history form
250 per pack
Size: 8 1/2" x 11"
$58.39
Per pack
($0.23/EACH)
Medical Arts Press Pet Treatment Records, Feline (20563RL)
Item #: 369-20563NP
Type of form: Treatment record
250 per pack
Size: 8 1/2" x 11"
$65.79
Per pack
($0.26/EACH)
Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
Item #: 369-33018
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$20.59
Per pack
($0.08/EACH)
Medical Arts Press Chiropractic Forms, Travel Card (21704)
Item #: 550-21704
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
$28.49
Per pack
($0.11/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
