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Staples Columnar Book, 50 Pages, Green (217885)
Item #: 550-217885
Columnar book is ideal for accounting and record keeping
Green-tinted paper with green and black lines
Includes 50 pages with 12 columns
$17.29
Per each
Medical Arts Press Eye Care Registration Form (20571)
Item #: 369-20571
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 History Form without Updates, Tooth Character
Item #: 369-20588
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
$66.89
Per pack
($0.27/EACH)
Medical Arts Press Narrow Ruled Veterinary Animal Record Progress Notes (20474)
Item #: 369-20474
Form heading includes space for owner s information and animal s identifying information
Top of page reinforced and two-hole punched
Reverse side is printed with Date and Progress Notes column headings
$97.99
Per pack
($0.39/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)
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
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
$5.99
5+ pad
Medical Arts Press® Standard Preprinted Chart Divider Tabs, Consent Forms, Light Green
Item #: 369-30580
Light green tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
$9.19
Per pack
($0.09/EACH)
Medical Arts Press Invoices, 500 Sets/Book, 509/Pack (19906A)
Item #: 550-19906A
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
$47.59
Per pack
($0.10/EACH)
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30471A)
Item #: 550-30471A
Light Teal Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3-11/16 From top Of Sheet
$34.69
Per pack
($0.07/EACH)
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
($0.18/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 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 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® 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 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 Podiatry Registration and History Forms, Love Your Feet (15143)
Item #: 369-15143
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"
$54.19
Per pack
($0.22/EACH)
Medical Arts Press® Physical Exam Forms, Green FormFamily™, Top Punched, 250/PK
Item #: 369-20379
Type of form: Physical exam form
250 per pack
Size: 8 1/2" x 11"
$46.99
Per pack
($0.19/EACH)
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30471C)
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
($0.06/EACH)
Quill Brand® 2 Columns Columnar Book, 7.25"W x 9.5"H, Gray Marble (18846/26515)
Item #: 550-217729
Gray marble-look cover
Includes 80 single-format pages, comes with two columns, quad-ruled
Overall dimensions: 7.25"W x 9.5"H
$20.49
Per each
Medical Arts Press® Consent Form, Dental Treatment, Bilingual, 250/Pack (21153)
Item #: 369-21153
Size: 8 1/2" x 11"
Paper color: White
Number of parts: 1
$57.29
Per pack
($0.23/EACH)
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
($0.33/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 Podiatry Registration and History Form, Teal, No Punch
Item #: 550-20590NP
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
$18.69
Per pack
($0.07/EACH)
