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Custom Carbonless 2-Part Doctor Lien Forms, 8-1/2" x 11", 250 Sets per Pack
Custom Carbonless 2-Part Doctor Lien Forms, 8-1/2" x 11", 250 Sets per Pack [#901-QFN105411R]
$50.99Pack
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A suggested replacement is: 901-QFN105411R

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   (72 Products)
All filters 72 items found
Medical Arts Press® Single Copy Rx Blanks; Vertical, Alter-Proof
Medical Arts Press® Single Copy Rx Blanks; Vertical, Alter-Proof
Item #: 901-16034
Tamper-resistant Rx pad features 5 security features; meets October 1st 2008 Medicaid Requirements
Alter-proof blue pattern background to ensure there are no erasures or modifications of information
Void Pantograph — the word "void" will appear when photocopied
MAP® Treatment Notes, 1-Part, Buff, 8 1/2 x 11, 250/Pack
MAP® 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"
$37.99
1-3 pack
Save 5%
$35.99
4+ pack
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Item #: 901-16035
Tamper-resistant Rx pad features 5 security features
Alter-proof blue pattern background to ensure there are no erasures or modifications of information - look and regulations may vary state to state
Void Pantograph — the word "void" will appear when photocopied
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 1 RX Blank/Sheet, High Security, 500/Pack
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 1 RX Blank/Sheet, High Security, 500/Pack
Item #: 901-83405
Security features exceed industry guidelines and meet all Medicaid requirements
Void pantograph - the word "VOID" appears when form is photocopied
Chemical protection - stains or spots appear with chemical alteration
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
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
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® Replacement Day Sheet Forms; Bond, Format S1, 50 Forms/Pack (WJM11)
Medical Arts Press® Replacement Day Sheet Forms; Bond, Format S1, 50 Forms/Pack (WJM11)
Item #: 901-20527
Replacement day sheet forms
Number of parts: One
50/Pack
$31.99
2+ pack
Medical Arts Press® Duplicate Rx Books; Alter-Proof, Horizontal
Medical Arts Press® Duplicate Rx Books; Alter-Proof, Horizontal
Item #: 901-16024
Tamper-resistant Rx pad features 5 security features; meets October 1st 2008 Medicaid Requirements
Alter-proof blue pattern background to ensure there are no erasures or modifications of information
Void Pantograph — the word "void" will appear when photocopied
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 4 RX Blanks/Sheet, High Security
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 4 RX Blanks/Sheet, High Security
Item #: 901-83406
Security features exceed industry guidelines and meet all Medicaid requirements
Void pantograph - the word "VOID" appears when form is photocopied
Chemical protection - stains or spots appear with chemical alteration
Medical Arts Press® Continuation Notes, Blue, No Punch
Medical Arts Press® Continuation Notes, Blue, No Punch
Item #: 901-20134NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$57.99
Per pack
Medical Arts Press® Progress Notes; Reinforced, Top PunchedMedical Arts Press® Progress Notes; Reinforced, Top Punched
Medical Arts Press® Progress Notes; Reinforced, Top Punched
Item #: 901-20555
Provides plenty of room to record patient progress and your findings at subsequent visits
Record patient name, birth date and gender
Ruled back side
$61.99
Per pack
Medical Arts Press® Pet Treatment Records, All-PurposeMedical Arts Press® Pet Treatment Records, All-Purpose
Medical Arts Press® Pet Treatment Records, All-Purpose
Item #: 901-20557
Type of form: Treatment record
250 per pack
Size: 8 1/2" x 11"
$42.99
1-3 pack
Save 16%
$35.99
4+ pack
New Customers
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Medical Arts Press® Progress Notes, No Holes Punched & No ImprintMedical Arts Press® Progress Notes, No Holes Punched & No Imprint
Medical Arts Press® Progress Notes, No Holes Punched & No Imprint
Item #: 901-21757NP
Type of form: Progress Notes
250 per pack
Size: 8 1/2" x 11"
$45.99
Per pack
Medical Arts Press® Continuation Notes, White, No Punch Option
Medical Arts Press® Continuation Notes, White, No Punch Option
Item #: 901-20131NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$46.99
Per pack
Medical Arts Press®  Mounting Sheets; All-Purpose, Adhesive Strip
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
Item #: 901-CMS12650657
Designed for filing Medicare part B claims as well as claims to commercial insurance companies
Includes the newest NUCC revisions
Printed in red, scannable, OCR ink
$6.49
Per pack
Medical Arts Press® Consent Form,  Dental Treatment, Bilingual
Medical Arts Press® Consent Form, Dental Treatment, Bilingual
Item #: 901-21153
Size: 8 1/2" x 11"
Paper color: White
Number of parts: 1
$53.99
1-3 pack
Save 14%
$45.99
4+ pack
Medical Arts Press® Treatment Notes, Tooth #, Non-Imprinted, No Punch
Medical Arts Press® Treatment Notes, Tooth #, Non-Imprinted, No Punch
Item #: 901-20560NP
Type of form: Treatment note
250 per pack
Size: 8 1/2" x 11"
$49.99
Per pack
ComplyRight Dental Claim, 2500/Pack (1900)
ComplyRight Dental Claim, 2500/Pack (1900)
Item #: 901-24433070
Dental claim form
2500 forms per pack
Comes as a white sheet with black text
$76.99
Per each
Medical Arts Press® Dental Treatment Consent Form; 1-SidedMedical Arts Press® Dental Treatment Consent Form; 1-Sided
Medical Arts Press® Dental Treatment Consent Form; 1-Sided
Item #: 901-20606
Provides your patient complete information about their treatment and its risks
Obtains written consent for your records
Just check off applicable conditions; patient reads explanation, initials and signs
$40.99
1 pack
Save 9%
$36.99
2+ pack
Medical Arts Press® Tamper-Resistant Secure Rx Blanks; Single Sheet
Medical Arts Press® Tamper-Resistant Secure Rx Blanks; Single Sheet
Item #: 901-15970
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
Medical Arts Press® Copy-Proof Rx Blanks, Single Sheet Pads
Medical Arts Press® Copy-Proof Rx Blanks, Single Sheet Pads
Item #: 901-16015
6 security features comply with CMS 10/1/08 Tamper Resistant Requirements for Medicaid
Copy-proof Rx blanks feature a blue pattern background; "void" pantograph appears when copied
Micro-print signature line helps prevent counterfeiting and states security when viewed through a magnifying glass; security band lists security features
Medical Arts Press® Pet Treatment Records, Canine, No Punch
Medical Arts Press® Pet Treatment Records, Canine, No Punch
Item #: 901-20562NP
Type of form: Treatment record
250 per pack
Size: 8 1/2" x 11"
$55.99
Per pack
Medical Arts Press® Dental Treatment Record Form; 2-SidedMedical Arts Press® Dental Treatment Record Form; 2-Sided
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
$46.99
Per pack
Want to know more about Shop Medical Forms

Prescription form packs for all medical doctors

Supplies of sign-in sheets and prescription pads and other medical forms include those for prescriptions, which come in pads, full-size sheets, and perforated sheet tear-offs. Health care personnel can order prescription form pads or sheets in different colors, with customized, practice-specific information, or in carbonless duplicates. Rx prescription pads come in packages of anywhere from 50 pads to 500- and 2,000-sheet quantities, and medical professionals can get forms that contain the specific information mandates required by many individual states.

Sign-in sheets and prescription pads as part of patient visits

Patient sign-in sheets are vital front-office supplies for medical practices. Patients use the sheets to sign their names and record their appointment dates and arrival times, as well as verify addresses or other contact information. The Health Insurance Portability and Accountability Act (HIPAA) mandates that this information remains confidential. The patient sign-in sheets ensure HIPAA compatibility with adhesive information strips that are removable after patients provide the information. Front-desk personnel then place the strips on the specific patient charts.

Rx forms that are tamper-resistant

Quill provides some forms only to licensed health care professionals. Many of the tamper-resistant prescription forms include paper-specific security features that include:

  • Authenticity ghost-marking
  • Fluorescent fibers that appear only under black light
  • Pantography, in which the word “Void” appears on photocopies

Other features of alter-proof and secure Rx forms

Chemically treated paper for prescription forms also prevents alteration. If individuals try to alter the print with solvents or acids, brown stains appear on the paper. If they try to erase the print, white marks appear. The paper also contains visible red and blue fibers so pharmacists recognize the paper as official prescriptions. A prescription form also contains Rx symbols that when rubbed with coins change color from white to gray.

Transcription labels for keeping files organized

After patients and doctors fill out sign-in sheets and prescription forms, medical personnel have to maintain records of the visits. Blank transcription labels are also available to identify health- and patient-specific files for recordkeeping. The labels are laser-print ready and come in multiple sizes and quantities.

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