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Medical Arts Press® FormFamily Dental Exam Form
Item #: 901-20609
Form size: 8-1/2x11"
2-hole punched on top
5-hole punched on the left side
$50.99
Per pack
($0.20/EACH)
Staples Record Book, 7.25" x 11.75", Black/Burgundy (ST26513)
Item #: 901-217687
Keep records, create lists, and write other notes with this classic-look journal
Black hardcover with a burgundy spine and corners
Contains 150 numbered, wide ruled 7.25"W x 11.75"H pages, while blue and red lines make it easy to keep writing organized on each sheet
$25.49
Per each
Medical Arts Press Welcome Registration Form, Paw Print in Middle
Item #: 901-20630
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$50.99
Per pack
($0.20/EACH)
Medical Arts Press Standard Preprinted Chart Divider Tabs, Patient Information, Orange (30583)
Item #: 901-30583
Orange tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
$9.19
Per pack
($0.09/EACH)
$20.59
Per pack
($0.08/EACH)
Medical Arts Press® Progress Notes, Includes Name, Sex, Birthdate and Page Number
Item #: 901-20541NP
Type of form: Progress note
250 per pack
Size: 8 1/2" x 11"
$52.99
Per pack
($0.21/EACH)
Medical Arts Press® Dental Treatment Record Form; 2-Sided
Item #: 901-20608
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
($0.22/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 Eye Care Registration Form (20571)
Item #: 901-20571
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$66.89
Per pack
($0.27/EACH)
Medical Arts Press Dental Registration and Medical History Form, Ledger Stock, 250/Pack (20128RL)
Item #: 901-20128MAP
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 Invoices, 8-1/2" x 11", 500 Sets/Book, 508/Pack (19906C)
Item #: 901-19906C
Perforation Is 3-11/16 From top Of Statement
Back Print Includes Area For Updating Patient Information to Help Keep Files Current
Size: 8.5 x 11 inch
$52.99
1-3 pack
($0.11/EACH)
Save 9%
$47.99
4+ pack
($0.10/EACH)
Columnar Book, 6 Columns, 7.25" x 9.5", Blue Granite, 40 Sheets/Book (217752)
Item #: 901-217752
7 1/4" x 9 1/2"
80 pages per book
Quad ruled
$19.09
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
$23.99
1 pack
($0.10/EACH)
Save 12%
$20.99
2+ pack
($0.08/EACH)
Staples Record Book, 7.25"W x 11.75"H, Blue Marble, 300 Sheets/Book (886673)
Item #: 901-886673STP
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
$51.99
Per each
Medical Arts Press Treatment Notes, 1-Part, Buff, 8 1/2" x 11", 250/Pack
Item #: 901-20262
Type of form: Treatment note
250 per pack
Size: 8 1/2" x 11"
$47.69
Per pack
($0.19/EACH)
Medical Arts Press FormFamily Periodontal Exam Form (20607)
Item #: 901-20607
Type of form: Periodontal exam form
250 per pack
Size: 8 1/2" x 11"
$56.29
1 pack
($0.23/EACH)
Save 5%
$52.99
2+ pack
($0.21/EACH)
Staples Columnar Book, 50 Pages, Green (217885)
Item #: 901-217885
Columnar book is ideal for accounting and record keeping
Green-tinted paper with green and black lines
Includes 50 pages with 12 columns
$23.09
Per each
Medical Arts Press FormFamily Dental History Update Form (20610)
Item #: 901-20610
Type of form: Dental history update form
250 per pack
Size: 8 1/2" x 11"
$43.59
Per pack
($0.17/EACH)
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 510/Pack (19906B)
Item #: 901-19906B
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
$58.39
Per pack
($0.12/EACH)
Staples® Columnar Books, 100 Pages, Green, 2/Pack (217851ABF)
Item #: 901-217851
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 5 columns
$22.29
1-2 pack
Save 14%
$18.99
3+ pack
Medical Arts Press® Continuation Notes, Green
Item #: 901-20133NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$69.09
Per pack
($0.14/EACH)
Medical Arts Press Compact Eye Care Registration and History Card (20020)
Item #: 901-20020MAP
Type of form: Registration and history card
250 per pack
Size: 5" x 8"
$15.49
1 pack
($0.06/EACH)
Save 9%
$13.99
2+ pack
($0.06/EACH)
Medical Arts Press Log of Hospital Visits, Pocket-sized, 1-Part
Item #: 901-20030
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
$70.09
1 pack
($7.01/EACH)
Save 5%
$65.99
2+ pack
($6.60/EACH)