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(53 items found)
All filters 53 items found
Medical Arts Press® Standard Preprinted Chart Divider Tabs, Consent Forms, Light Green
Medical Arts Press® Standard Preprinted Chart Divider Tabs, Consent Forms, Light Green
Item #: 901-30580
Light green tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
$10.49
Per pack
($0.10/EACH)
Medical Arts Press Standard Preprinted Chart Divider Tabs, Patient Information, Orange (30583)
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
Medical Receipt Books; BlankMedical Receipt Books; Blank
Medical Receipt Books; Blank
Item #: 901-MRB109NI
Keep a permanent record of patient payments in chronological order
3-parts; parts one & two are perforated, part three remains in book as permanent record
Includes insert to prevent write-through
$29.99
5 book
$25.99
50+ book
Medical Arts Press® 2-Part Optical Rx Blanks; Carbonless, 4x5-1/2
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
Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)
Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)
Item #: 901-21701
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
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Item #: 901-20743
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
Screens for artificial heart valves, artificial joints, heart
Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Item #: 901-20572
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
$76.29
1 pack
($0.31/EACH)
Save 6%
$71.99
2+ pack
($0.29/EACH)
Medical Arts Press Dental Registration Forms, 250/Pack (20558)Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
Medical Arts Press Registration Form; Smile TeamMedical Arts Press Registration Form; Smile Team
Medical Arts Press Registration Form; Smile Team
Item #: 901-21784
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
$80.29
1 pack
($0.32/EACH)
Save 7%
$74.79
2+ pack
($0.30/EACH)
Medical Arts Press Eye Care Registration Form (20571)Medical Arts Press Eye Care Registration Form (20571)
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"
$73.69
Per pack
($0.29/EACH)
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Item #: 901-20596
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
Medical Arts Press Registration Forms without Updates Section ; Brush SilhouetteMedical Arts Press Registration Forms without Updates Section ; Brush Silhouette
Medical Arts Press Registration Forms without Updates Section ; Brush Silhouette
Item #: 901-21786
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
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Item #: 901-16010MAP
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
Medical Arts Press® Dental Registration and History Form; Purple and Teal DesignMedical Arts Press® Dental Registration and History Form; Purple and Teal Design
Standard RX Books, 2-Part Carbonless, 100 Books per Pack
Standard RX Books, 2-Part Carbonless, 100 Books per Pack
Item #: 901-QRX16022
5-1/2" x 4" 2-Part Pads - White, Yellow
100 Books per Pack, 50 Sets per Book
Standard refill instructions printed on the pad
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Item #: 901-519727
Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Contains 2500 forms per carton
$126.89
Per carton
($0.05/EACH)
Medical Arts Press® Single Copy Rx; Florida
Numbered Standard RX Books, 2-Part Carbonless, 100 Books per Pack
Numbered Standard RX Books, 2-Part Carbonless, 100 Books per Pack
Item #: 901-QRX16022N
5-1/2" x 4" 2-Part Pads - White, Yellow
100 Books per Pack, 50 Sets per Book
Standard refill instructions printed on the pad
Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4
Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4"
Item #: 901-16020
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2 x 11, 250/Pack (50135RV)
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
Medical Arts Press Welcome Registration Form, Eye Graphic
Medical Arts Press Welcome Registration Form, Eye Graphic
Item #: 901-21783
Type of form: Message sign
Size: 8" x 5"
Message type: Standard
$84.69
1 pack
($0.34/EACH)
Save 6%
$79.19
2+ pack
($0.32/EACH)
ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)
ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)
Item #: 901-24614845
Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Printed with OCR dropout red ink on white paper
$46.99
Per each
Adams CMS-1500 1 Part Health Insurance Claims, 100/Pack (ABF CMS1500L1V)
Adams CMS-1500 1 Part Health Insurance Claims, 100/Pack (ABF CMS1500L1V)
Item #: 901-486075
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 100 forms per package
$21.99
Per pack
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Pack of 500 (CMS12LC500)ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Pack of 500 (CMS12LC500)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-CMS12LC500
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
$50.99
Per pack
($0.10/EACH)
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