Page 2 of Forms
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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
Custom 1-Sided Insurance Registration Forms, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFN105011R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
ComplyRight 2025 W-2 Tax Form Set with Self-Seal Envelopes, 4-Part, 2-Up, For 50 Employees
Item #: 901-24650565
Form W-2 and transmittal Form W-3 for reporting wages and tax statements
4-Part Set Includes: Copy A, B, C, D (25 Sheets each) 3 Transmittals and 50 Self-Seal envelopes
2-Up: 2 Forms per Sheet
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #: 901-398021
Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
Complies with HIPAA’s authorization requirements
Size: 8 1/2" x 11"
Custom Dental Registration Forms, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFW2055801
Includes complete personal and insurance information, and assignment and release for easy account set up
8-1/2" W x 11" L
White 24# bond stock, pre-printed in black and blue ink
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
Adams Employee's Copies Cut Sheet 2025 1099-MISC Tax Form Kit with 3 1096 Forms, 4-Part, Copy A, B, 1, 2, 50/Pack (6103Q)
Item #: 901-6103
2025 4-Part 1099-MISC Forms for 50 recipients and 6 1096 forms
For paper filers, the 2025 1099-MISC Copy B is due to your recipients by Feb. 2, 2026 (if box 8 & 10 are empty) or Feb. 15 (if filled); Copy A & 1096 are due by Feb. 28; or eFile by March 31; as of 2023, IRS eFile regulations require e-Filing for 10
or more returns of certain forms; Use Adams Tax Forms Helper to eFile to the IRS/SSA ...
or more returns of certain forms; Use Adams Tax Forms Helper to eFile to the IRS/SSA ...
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
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074043)
Item #: 901-24617597
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
Item #: 901-24617599
Patient Bilingual Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041)
Item #: 901-24617598
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)
Item #: 901-24617595
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
Item #: 901-24602228
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
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
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
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
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
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
ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)
Item #: 901-24602226
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
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
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
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
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
ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
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
ComplyRight 2025 W-2 Blank Tax Form, 4-Up (Horizontal), with Backer Instructions, Pack of 500 Forms
Item #: 901-24650554
Form W-2 provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part, blank tax form
For laser printers
ComplyRight 2025 W-2 Blank Tax Form, 4-Up, Horizontal with Backer Instructions, Pack of 50 Forms
Item #: 901-24650542
Form W-2 provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part, blank tax form
For laser printers
ComplyRight 2025 1096 Tax Form, 1-Part, Transmittal, 10/Pack (510010)
Item #: 901-24507945
Use form 1096 to submit the totals from information returns to the Internal Revenue Service.
Transmittal Form
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