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Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 901-20558NP
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
$60.99
Per pack
($0.24/EACH)
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Item #: 901-20596
Item #: 901-20596
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$57.99
Per pack
($0.23/EACH)
Medical Arts Press Registration Forms without Updates Section ; Brush Silhouette
Item #: 901-21786
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
$56.99
Per pack
($0.23/EACH)
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
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
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
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
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
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
Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
Item #: 901-2678548
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
$71.09
Per pack
($0.57/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
Custom Laser Top Checks, Unlined, 1 Ply, 1 Color Printing, Standard Check Color, 8-1/2" x 11", 500/Pk
Item #: 901-DLT1041S1C
Built-in check security trusted by 7,000 financial institutions nationwide, with features such as chemically sensitive paper, microprint border, erasure protection, security screen & warning box
2 blank tear-off vouchers have plenty of room to document transactions for you & your employee or vendor
Sheet format fits all standard laser & inkjet printers
Medical Arts Press® Standard Preprinted Chart Divider Tabs, Consent Forms, Light Green
Item #: 901-30580
Item #: 901-30580
Light green tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
$10.49
Per pack
($0.10/EACH)
Medical Arts Press Registration Form; Smile Team
Item #: 901-21784
Item #: 901-21784
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Friendly "happy teeth" design welcomes patients
Printed in 2-color on two sides on 24-lb. white bond paper
$80.29
1 pack
($0.32/EACH)
Save 7%
$74.79
2+ pack
($0.30/EACH)
Medical Arts Press® Dental Registration and History Form; Purple and Teal Design
Item #: 901-20579
Item #: 901-20579
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
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
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
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
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Item #: 901-16035
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
Rediform Gold Standard 2-Part Carbonless Receipts Book, 5"L x 2.75"W, 225 Forms/Book (8L829)
Item #: 901-8L829
Item #: 901-8L829
Receipt book is consecutively numbered for easy organization
Business form size: 5"L x 2.75"W
2-Part Carbonless forms for accurate record keeping
$33.99
1-3 each
Save 15%
$28.99
4+ each
ComplyRight 2026 Attendance Calendar File Folder, 25 Forms/Pack (A3050)
Item #: 901-2549040
Item #: 901-2549040
Folder provides a calendar on front for quick and easy attendance tracking
Two pockets inside of folder for storing paper records
Attorney-approved to ensure 100% compliance
ComplyRight Personnel Folders, 3-Part, 25 Forms/Pack (A3103)
Item #: 901-1949185TFP
Item #: 901-1949185TFP
Contains 3 folders: Hiring/Employment History, Payroll/Tax and Benefits/Insurance
Back side of organizer jacket explains what records you must keep and for how long
Organizer: 9.5" x 11.875" x 1.75"
Adams Employee's Copies Cut Sheet 2025 W-2 Tax Form, 4-Part, Copy B & C, 100/Pack (LW24UPB100)
Item #: 901-5209
Item #: 901-5209
2025 Blank W-2 Forms have Copy B & C instructions printed on the back
2025 W-2 forms must be mailed or eFiled to the SSA and furnished to your employees by February 2, 2026; 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
Blank W-2 forms include Copy B & C instructions on the back
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