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Medical Arts Press® Dental Treatment Consent Form; 1-Sided
Item #: 901-20606
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
Medical Arts Press Dental Registration and History Form, Welcome, Toothbrush, Teal Design, No Punch
Item #: 901-20582NP
Item #: 901-20582NP
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
Medical Arts Press® Consent Form, Dental Treatment, Bilingual, 250/Pack (21153)
Item #: 901-21153
Item #: 901-21153
Size: 8 1/2" x 11"
Paper color: White
Number of parts: 1
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Item #: 901-20743
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 Welcome Registration Form, Paw Print in Middle
Item #: 901-20630
Item #: 901-20630
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
Medical Arts Press® Washington Laser Prescription Forms; Non Personalized
Item #: 901-26536
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 Comprehensive Examination Form (21700)
Item #: 901-21700
Item #: 901-21700
4-page document records clinical detail from a patient's comprehensive exam
Includes sections to record results from clinical tests
Includes top 25 ortho/neuro tests
Medical Arts Press Welcome Registration Form, Eye Graphic
Item #: 901-21783
Item #: 901-21783
Type of form: Message sign
Size: 8" x 5"
Message type: Standard
Medical Arts Press Eye Care Registration Form (20571)
Item #: 901-20571
Item #: 901-20571
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
Medical Arts Press Dental Registration and Medical History Form, Spanish (20586)
Item #: 901-20586
Item #: 901-20586
Type of form: Dental registration and medical history form
250 per pack
Size: 8 1/2" x 11"
Medical Arts Press Podiatry Registration and History Forms, Love Your Feet (15143)
Item #: 901-15143
Item #: 901-15143
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"
Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
Item #: 901-33018
Item #: 901-33018
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
Medical Arts Press® Dental Registration and History Form; Purple and Teal Design
Item #: 901-20579
Item #: 901-20579
Medical Arts Press Chiropractic Registration and History Forms, Holistic Care
Item #: 901-15165
Item #: 901-15165
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, severity
Also includes areas for onset, effect on daily activities, and conditions
Adams 3-Part Carbonless Contractor Proposal Forms, 8.5" x 11.44", 50 Sets/Book (NC3819)
Item #: 901-448251
Item #: 901-448251
Contractor's proposal forms include space for total cost and terms of payment
Form size: 11.44"L x 8.5"W
Three-part carbonless (white, canary, and pink paper sequence)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 901-CMS12LC1
Item #: 901-CMS12LC1
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
Custom Carbonless 2-Part Forms, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFNL2P1S1R
Design your own forms using your own artwork
8-1/2" W x 11" L
2-part, white/canary, carbonless
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-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
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
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
Custom Carbonless 2-Part Forms, 5-1/2" x 8-1/2", 250 Sets per Pack
Item #: 901-QFNM2P1S1R
Design your own forms using your own artwork
5-1/2" W x 8-1/2" L
2-part, white/canary, carbonless
Custom Carbonless 3-Part Forms, 5-1/2" x 8-1/2", 250 Sets per Pack
Item #: 901-QFNM3P1S1R
Design your own forms using your own artwork
5-1/2" W x 8-1/2" L
3-part, white/canary/pink, carbonless
Money Receipt Forms, Carbonless, 3 Part, Hard Cover, 2-3/4" x 7", 200 Sets/Book (RED8L818)
Item #: 901-864876
Item #: 901-864876
Duplicates print black
NOTE ON NUMBERED FORMS: Sorry, but we are unable to fill requests for a specific number series
Safety tint on original rubs off if erased
Custom Carbonless Veterinarian Surgical Consent Form, 5-1/2" x 8-1/2", 100 Sets per Pad
Item #: 901-QFW1302901
Self-duplicating; everything is printed on original and duplicate
5-1/2" W x 8-1/2" L
White self-duplicating carbonless stock; pre-printed in black ink
Adams 3-Part Carbonless Bill of Lading, 8-1/2" x 7-7/16", 50 Sets/Book (9013)
Item #: 901-195941
Item #: 901-195941
Bill of Lading forms are carbonless snap sets
Three-part carbonless (all parts are white)
50 sets/pack
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