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Page 2 of 1099 carbonless forms

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All filters 2840 items found
Custom Carbonless 2-Part Examination Report Forms, 4 x 5-1/2, 50 Sets per Pad
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Custom Carbonless 2-Part Examination Report Forms, 4" x 5-1/2", 50 Sets per Pad
Item #: 901-QFN131141R
Item #: 901-QFN131141R
Pricing details
Use to provide costs and services to patients and for use in patient charts
4" W x 5-1/2" L
2-part, white/canary, carbonless; printed in black ink
$16.79
5-9 pad
($0.34/EACH)
Save 41%
$9.99
40+ pad
($0.20/EACH)
Customize
Earn 83 points
Free delivery w/ $25+
Custom Carbonless Anesthesia Consent Form, 3-1/4 x 5, 100 Sheets per Pad
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Custom Carbonless Anesthesia Consent Form, 3-1/4" x 5", 100 Sheets per Pad
Item #: 901-QFW1056501
Item #: 901-QFW1056501
Pricing details
Self-duplicating; everything is printed on original and duplicate
3-1/4" W x 5" L
White self-duplicating carbonless stock; pre-printed in black ink
$26.99
8 pad
($0.27/EACH)
Save 22%
$20.99
32+ pad
($0.21/EACH)
Customize
Earn 215 points
Free delivery
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Box of 1,000 (CMS12LC1)ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Box of 1,000 (CMS12LC1)
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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 901-CMS12LC1
(85)
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
$55.99
Per carton
($0.06/EACH)
Add to cart
Earn 55 points
Free 1-2 day delivery
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)
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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-CMS12LC500
(34)
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)
Add to cart
Earn 50 points
Free delivery
Custom Carbonless 2-Part Certificate of Professional Care Forms, 4 x 5-1/2, 50 Sets per pad
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Custom Carbonless 2-Part Certificate of Professional Care Forms, 4" x 5-1/2", 50 Sets per pad
Item #: 901-QFN131121R
Item #: 901-QFN131121R
Pricing details
For certification of care
4" W x 5-1/2" L
2-part, white/canary, carbonless; printed in black ink
$16.79
5-9 pad
($0.34/EACH)
Save 41%
$9.99
40+ pad
($0.20/EACH)
Customize
Earn 83 points
Free delivery w/ $25+
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2 x 11, 250/Pack (50135RV)
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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
(16)
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
$26.09
Per pack
($0.10/EACH)
Add to cart
Earn 26 points
Free delivery
Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
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Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
Item #: 901-2678548
(4)
Item #: 901-2678548
Patient sign-in label forms to sign in your patients confidentially
Form consists of three parts: a label sheet, a carbon sheet, and a log behind it
125 sheets per package
$68.99
Per pack
($0.55/EACH)
Add to cart
Earn 68 points
Free delivery
Medical Arts Press Dental Registration Forms, 250/Pack (20558)Medical Arts Press Dental Registration Forms, 250/Pack (20558)
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Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 901-20558NP
(3)
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
$67.09
Per pack
($0.27/EACH)
Add to cart
Earn 67 points
Free delivery
Medical Arts Press Registration Forms without Updates Section ; Brush SilhouetteMedical Arts Press Registration Forms without Updates Section ; Brush Silhouette
Quick view
Medical Arts Press Registration Forms without Updates Section ; Brush Silhouette
Item #: 901-21786
(1)
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
$62.69
Per pack
($0.25/EACH)
Add to cart
Earn 62 points
Free delivery
Medical Arts Press® Dental Treatment Consent Form; 1-SidedMedical Arts Press® Dental Treatment Consent Form; 1-Sided
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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
$20.99
1 pack
($0.08/EACH)
Save 5%
$19.99
2+ pack
($0.08/EACH)
Add to cart
Earn 20 points
Free delivery w/ $25+
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)
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Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Item #: 901-20596
(4)
Item #: 901-20596
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$63.79
Per pack
($0.26/EACH)
Add to cart
Earn 63 points
Free delivery
Rediform 3-Part Carbonless Receipts, 4-1/4 x 6-3/8, 50 Sets/Book (RED5L528)Rediform 3-Part Carbonless Receipts, 4-1/4 x 6-3/8, 50 Sets/Book (RED5L528)
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Rediform 3-Part Carbonless Receipts, 4-1/4" x 6-3/8", 50 Sets/Book (RED5L528)
Item #: 901-2658698
(1)
Item #: 901-2658698
All forms contain space for important information essential to a business operation
Carbon coating on back of each original transfers to duplicate copies without having to transfer carbon sheets
Detachable
$19.89
Per each
Add to cart
Earn 19 points
Free delivery w/ $25+
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074043)Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074043)
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Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074043)
Item #: 901-24617597
(2)
Item #: 901-24617597
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
$74.99
1-5 pack
Save 10%
$67.39
6+ pack
Add to cart
Earn 74 points
Free delivery
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041)Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041)
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Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041)
Item #: 901-24617598
(2)
Item #: 901-24617598
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
$74.99
Per pack
Add to cart
Earn 74 points
Free delivery
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
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Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
Item #: 901-24617599
(4)
Item #: 901-24617599
Patient Bilingual Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
$75.99
Per pack
Add to cart
Earn 75 points
Free delivery
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)
Quick view
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)
Item #: 901-24617595
(2)
Item #: 901-24617595
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
$75.99
1-9 pack
Save 9%
$69.39
10+ pack
Add to cart
Earn 75 points
Free delivery
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
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ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
Item #: 901-24602229
Item #: 901-24602229
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$19.09
Per each
Add to cart
Earn 19 points
Free delivery w/ $25+
ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)
Quick view
ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)
Item #: 901-24614845
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
Add to cart
Earn 46 points
Free delivery
ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
Quick view
ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
Item #: 901-24602227
Item #: 901-24602227
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$67.99
Per each
Add to cart
Earn 67 points
Free delivery
Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)
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Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)
Item #: 901-21701
(2)
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
$74.79
Per pack
($0.30/EACH)
Add to cart
Earn 74 points
Free delivery
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
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ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
Item #: 901-125557
(58)
Item #: 901-125557
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
$123.99
Per pack
($0.05/EACH)
Add to cart
Earn 123 points
Free delivery
Custom Florist Register Form, Classic Design, Large Format, TAX. DEL., 3 Parts, 1 Color Printing, 5 1/2 x 8 1/2, 500/Pack
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Custom Florist Register Form, Classic Design, Large Format, TAX. DEL., 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D6723B
Item #: 901-D6723B
Pricing details
Multiple layout options: Choice of different layouts for tax and delivery options - Layout A: Del, Tax, Layout B: Tax, Del, Layout C: Blank, Layout D: Tax
Compatible with our registers
Additional customization options include imprinting your custom logo
$260.99
1 pack
($0.52/EACH)
Save 42%
$151.99
12 pack
($0.30/EACH)
Customize
Earn 260 points
Free delivery
Custom Florist Register Form, Classic Design, Large Format, TAX. DEL., 2 Parts, 1 Color Printing, 5 1/2 x 8 1/2, 500/Pack
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Custom Florist Register Form, Classic Design, Large Format, TAX. DEL., 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D6722B
Item #: 901-D6722B
Pricing details
Multiple layout options: Choice of different layouts for tax and delivery options - Layout A: Del, Tax, Layout B: Tax, Del, Layout C: Blank, Layout D: Tax
Compatible with our registers
Additional customization options include imprinting your custom logo
$209.99
1 pack
($0.42/EACH)
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Adams 2025 1099-NEC Tax Form, 6-Part, Copy B, 50/Pack (LNECREC-S)
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Adams 2025 1099-NEC Tax Form, 6-Part, Copy B, 50/Pack (LNECREC-S)
Item #: 901-24450255
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Item #: 901-24450255
2025 1-Part 1099-NEC Copy B Forms for 150 recipients
The 2025 1099-NEC must be mailed or eFiled to the IRS and furnished to your recipients by February 2, 2026; As of 2023, IRS eFile regulations require e-Filing for 10 or more returns of certain forms; Use the new Adams Tax Forms Helper to eFile to the
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