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Item # 901-21764
Medical Arts Press
8 1/2" x 11"
11
250
Dental Claims
1
Dental
8.5
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Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns, 50 Sheets/Pad, 10 Pads/Pack (95141)
Item #: 369-745804
20-lb. ledger green paper
50 numbered lines, every fifth horizontal line heavily ruled as line guide
10,000,000 units per column
$68.99
Per pack
($6.90/EACH)
Staples Columnar Books, 100 Pages, Green, 2/Pack (217844ABF)
Item #: 550-217844
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 4 columns
$20.29
Per pack
($10.15/EACH)
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Item #: 369-20596
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$57.29
Per pack
($0.23/EACH)
Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)
Item #: 550-21701
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
Also features areas for severity, onset, effect on daily activities, and co
$25.49
Per pack
($0.10/EACH)
Medical Arts Press Dental Registration and History Form, 250/Pack (20605)
Item #: 369-20605
Form allows you to gather complete information from patients
Simple to fill out with individually numbered sections
Includes sections on patient information, insurance, history and more
$52.99
Per pack
($0.21/EACH)
Staples Columnar Books, 100 Pages, 6 Columns, Green, 2/Pack (217869)
Item #: 550-217869
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 6 columns
$20.89
Per pack
($10.45/EACH)
Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)
Item #: 550-217745
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with four columns per page, quad-ruled
$24.69
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
($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)
Staples Record Book, Black, 300 Sheets/Book (217919)
Item #: 550-217919
Record book for keeping track of tons of information
Black cover with burgundy spine and corners features gold-stamped title for elegant look
Contains 300 numbered pages, faintly ruled with margin lines, 40 lines per page
$29.29
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
($0.23/EACH)
Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Item #: 369-20572
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
Also features areas for severity, onset, effect on daily activities, and co
$61.99
Per pack
($0.25/EACH)
Featured
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
$64.05
Per each
Adams® Home and Office Budget Record Journal, Ruled, Blue (AFR31)
Item #: 550-584361
Paper is white and blue in color, and the cover is made of polypropylene
30 sheets featuring 64 forms
Dimensions: 10" x 7"
$14.89
Per each
Dome Notary Public Record Book, 500-Entry, Red (880)
Item #: 550-880
Easy-to-use, compliant, and comprehensive notarial record keeping system for households and individuals
Red cover for incredible look
Sewn and numbered pages for added security
$16.80
Per each
Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 369-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
$60.49
Per pack
($0.24/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 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)
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 Registration Form; Smile Team
Item #: 369-21784
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Friendly "happy teeth" design welcomes patients
Printed in 2-color on two sides on 24-lb. white bond paper
$67.99
Per pack
($0.27/EACH)
Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)
Item #: 550-217976
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with 12 columns per page, quad-ruled
$13.51
Per each
Wilson Jones Ledger Paper, 8.5" x 11", Ivory, 100 Sheets/Box (W901-10)
Item #: 550-42979
Designed for use in minute books, plain ledger sheets are long-lasting and versatile
Includes 28 lbs. ivory paper sheets
Includes 100 unruled, unnumbered sheets per box
$65.27
Per box
Wilson Jones Columnar Ruled Sheets, 30 Columns, 11" x 17", Green, 100 Sheets/Pack (WLJG5030)
Item #: 550-WG5030A
11" x 17"
100 sheets
36 lines per page, 30 columns
$55.67
Per pack
($0.56/EACH)
Rediform 2-Part Carbonless Purchase Requisitions, 4.25"L x 7"W, 50 Sets/Book (1L114)
Item #: 550-421005
Material requisition book is consecutively numbered for easy organization
Business form size: 4.25"L x 7.88"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$12.34
Per each
