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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
Adams Last Will & Testament, Forms & Instructions (LF235/ALFP117)
Item #: 901-571355
Item #: 901-571355
Last Will & Testament details your assets and the beneficiaries who will receive them
Form size: 11"L x 8.5"W
Comes in white
$12.89
Per each
ComplyRight 2025 Double-Window Envelopes For 1099-R Tax Forms, 4-Up Box, Self-Seal, Pack Of 100
Item #: 901-24650541
Item #: 901-24650541
Double-window envelope accommodates 4-Up 1099-R (5175) forms.
Features a self-seal flap.
Pack of 100 envelopes.
TOPS™ Carbonless Invoice Form, 3-Part, 50/Pack (NCT8745)
Item #: 901-644312
Item #: 901-644312
Carbonless Invoice form is great for service-based businesses
Dimensions: 0.5"H x 7.44"W x 8.5"L, 8.5" x 6.94" (detached form), 8.5" x 7.44" (sheet)
Color: White (primary page), pink (triplicate page), canary (duplicate page), blue (ink)
Medical Arts Press® Dental Registration and History Form; Purple and Teal Design
Item #: 901-20579
Item #: 901-20579
Adams 3-Part Carbonless Contractors Invoice Forms, 8.5"W x 11.44"L, 100/Pack (ABF NC3822)
Item #: 901-468744
Item #: 901-468744
Business form type: contractor invoice
Form size: 11.44"L x 8.5"W
Features a carbonless 3-part format and comes in white
$24.19
Per pack
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
Item #: 901-24617599
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
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
Item #: 901-24617595
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 (074043)
Item #: 901-24617597
Item #: 901-24617597
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
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
ComplyRight Double Window Envelope for Tax Form, 5.63" x 9", White/Black, 100/Pack (51511)
Item #: 901-24578186
Item #: 901-24578186
Simple high-quality double-window envelope for W-2 (5218) tax form that gets the job done
Dimensions: 5.63" x 9"
Comes in white with black text
ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
Item #: 901-24602228
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
Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Item #: 901-20572
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)
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
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
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
Item #: 901-125557
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, 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
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
ComplyRight 2026 Time Off Request and Approval Form, 2-Part, 50 Forms/Pack (A0030)
Item #: 901-24202397
Item #: 901-24202397
Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)
Item #: 901-24602226
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
TOPS™ Carbonless Statement Book, 2-Part, 50 Forms/Book, 3 Pads/Pack (DC5812-3)
Item #: 901-448957
Item #: 901-448957
Carbonless Statement book is a great, low-cost way to keep your customer accounts current
Dimensions: 1.2"H x 5.56"W x 8.44"L, 7.94" x 5.56" (detached form), 8.44" x 5.56" (sheet)
Color: White (primary page), canary (duplicate page), blue (ink)
$24.59
Per each
Rediform 3-Part Carbonless Receipts Pad, 7" x 2.7", 100 Forms/Pad (8L808)
Item #: 901-8L808
Item #: 901-8L808
Money receipt book is consecutively numbered for easy organization
Business form size: 8.5"L x 7.44"W; detached form size: 8.5"L x 6.94"W
3-Part Carbonless forms for accurate record keeping
$29.99
Per each
Adams Gummed Double Window Envelope for Tax Form, 5 5/8" x 9", White, 100/Pack (DW4ALT100)
Item #: 901-99991
Item #: 901-99991
Tax Envelopes are easy close, tinted for 100% security and are double-windowed
Use with LW24UPALT tax form
24-lb. white wove stock
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