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ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123)
Item #: 901-728245
Item #: 901-728245
Communicates mandatory HIPAA rules to patients
Laminated
Informs patients of their rights and responsibilities under HIPAA regulations
Custom Cash Receipt Book, 3-to-a-page, Triplicate, 150 Sets/Book
Item #: 901-TCRB1113
3-Up
Triplicate
150 sets per book
TOPS Credit Card Sales 3-Part Carbonless Receipt, 3.25"L x 7.88"W, 100/Pack (TOP 38538)
Item #: 901-810999
Item #: 901-810999
Triplicate Credit Card Sales Slips are made with carbonless paper to protect your customers; no carbon tissues containing credit card information to worry about
Size: 3.25"L x 7.88"W
Features a carbonless 3-part format and comes in white
$39.99
1-4 pack
Save 5%
$37.99
5+ pack
Adams 2-Part Carbonless Sales Orders, 7.19"L x 3.34"W, 50 Sets/Book (DC3705)
Item #: 901-DC3705
Item #: 901-DC3705
Sales and order books are ideal for keeping proper records of orders and sales
Size: 7.19"L x 3.34"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$18.99
Per each
Medical Arts Press® Single Copy Rx Blanks; Vertical, Alter-Proof
Item #: 901-16034
Item #: 901-16034
Tamper-resistant Rx pad features 5 security features; meets October 1st 2008 Medicaid Requirements
Alter-proof blue pattern background to ensure there are no erasures or modifications of information
Void Pantograph — the word "void" will appear when photocopied
Custom Dental Charge Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131151R
Use to provide costs and services to patients
4" W x 5-1/2" L
White 20# text stock; printed in black ink
ComplyRight™ HIPAA Protecting Patient Privacy Poster (A2126)
Item #: 901-728247
Item #: 901-728247
Communicates mandatory HIPAA rules to healthcare employees
Educates employees on how and when patient's medical information may be disclosed and what to do if a breach occurs
Poster size 12 x 18"
Custom Referral for Treatment Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN160601R
Referral forms for physicians
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1143
4-Up
Triplicate
200 sets per book
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 901-398026
Item #: 901-398026
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
Custom Carbonless Side-Stub Job Work Order, Large Format, 2 Parts, 1 Color Printing, 8 1/2" x 5 1/2", 500/Pack
Item #: 901-D2132
Preprinted areas for material costs, descriptions, labor, signature & dates
Last part is durable tag stock preprinted with a material & labor record for future reference
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
TOPS™ Money/Rent Receipt Book, 3-Part, 50 Sheets/Book (TC2701-3)
Item #: 901-448242
Item #: 901-448242
Money/Rent Receipt book to offer receipts for rent and other monetary exchanges at
Dimensions: 1.5"H x 2.75"W x 7.19"L, 6.69" x 2.75" (detached form), 7.19" x 2.75" (sheet)
Color: White (primary page), pink (triplicate page), canary (duplicate page), blue (ink)
$27.99
Per each
Custom Sales Slips, Classic Design, Large Format 3 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 500/Pack
Item #: 901-D813
Custom printed business forms, with time-saving features & expert personalization
16 lines for writing up larger sales
Carbonless 2- or 3-part forms stay tightly aligned for clear, clean copies
Custom Illness / Injury Excuse Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN131541R
Excuse forms for work or school
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
TOPS® Bill of Lading Unit Set, Ruled, 4-Part Carbonless, 11-7/16" x 8-1/2", 50/Pack (3847)
Item #: 901-903257
Item #: 901-903257
Originals are printed in Light Blue, duplicates in Blue
White carbonless paper
Hazardous material information areas are printed in Red
$79.99
1-4 box
Save 5%
$75.99
5+ box
TOPS 2-Part Carbonless Purchase Requisitions, 10.69"L x 8.38"W, 50 Sets/Book (46146)
Item #: 901-388373
Item #: 901-388373
Purchase order books are designed to help you write order memos in a clear manner
Business form size: 10.69"L x 8.38"W; detached form size: 10.19"L x 8.38"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$20.99
Per each
Custom Auto Parts Sales Order - Small with Side-Stub 3 Parts, 1 Color Printing, 8 1/2" x 5 2/3",500/Pack
Item #: 901-D6573
Handy: Special columns for list and net prices
These forms come with the option to have consecutive numbering printed on them
Imprint Color: Blue
ComplyRight ADA Self-Seal Envelope (2003ES)
Item #: 901-728692E
Item #: 901-728692E
Self-Seal Envelope you can use it for 2002, 2004, & 2006 Versions
Dimensions: 9.5" W x 4.125" H
Pack size 500
ComplyRight™ Expanded Employee Records Folder, Letter Size, Pack of 25 (A5008)
Item #: 901-1949181
Item #: 901-1949181
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Expanded folder has 1.5” spine which holds more than 100 employee documents
ComplyRight™ Employee Records Folder, Letter Size, Pack of 25 (A5001)
Item #: 901-1949184
Item #: 901-1949184
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Easily fits into any filing cabinet or desk drawer
TOPS Credit Card Sales 3-Part Carbonless Receipts, 3.25"L x 7.88"W, 100 Sets/Book, 5/Carton (38538CT)
Item #: 901-810999CT
Item #: 901-810999CT
Triplicate Credit Card Sales Slips are made with carbonless paper to protect your customers; no carbon tissues containing credit card information to worry about
Size: 3.25"L x 7.88"W
Features a carbonless 3-part format and comes in white
$137.89
1-2 carton
Save 8%
$126.99
3+ carton
Custom Sales Slips, Classic Design, Large Format 2 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 500/Pack
Item #: 901-D812
Custom printed business forms, with time-saving features & expert personalization
16 lines for writing up larger sales
Carbonless 2- or 3-part forms stay tightly aligned for clear, clean copies
Posting File, For Forms Up To 7-1/2x9-1/2"
Item #: 901-31134
Item #: 901-31134
Large tray features 3 tilt plates for support
Sturdy metal construction with gray baked enamel finish
Holds forms up to 7-1/2Wx9-1/2Hx6"D, up to a 6" stack of forms
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1203
4-Up
Triplicate
200 sets per book
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