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Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (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
$65.99
1 pack
($0.26/EACH)
Save 6%
$61.99
2+ pack
($0.25/EACH)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
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
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
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
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
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
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Item #: 901-20743
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
Screens for artificial heart valves, artificial joints, heart
Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
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 (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
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 (074039)
Item #: 901-24617595
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
Adams 3-Part Carbonless Bill of Lading, 8-1/2" x 7-7/16", 50 Sets/Book (9013)
Item #: 901-195941
Bill of Lading forms are carbonless snap sets
Three-part carbonless (all parts are white)
50 sets/pack
Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
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
Medical Arts Press Replacement Day Sheet Forms; Bond, Format S1 (WJM11)
Item #: 901-20527
Replacement day sheet forms
Number of parts: One
50/Pack
Adams Last Will & Testament, Forms & Instructions (LF235/ALFP117)
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
Adams Durable Power of Attorney Legal Form Kit 11"L x 8.5"W Each (ABF LF205)
Item #: 901-571453
Durable Power of Attorney appoints someone to handle your finances if you are absent or incapacitated
White primary page coloring with black ink on the form
One kit contains four sheets
TOPS 2-Part Money/Rent Receipt Book, 5.37" x 2.75", White, 50 Forms (46820)
Item #: 901-745091
5 3/8" x 2 3/4"
50 ruled forms
1 form per page
Medical Arts Press Registration Forms without Updates Section ; Brush Silhouette
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
Medical Arts Press Registration Form; Smile Team
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
$72.99
1 pack
($0.29/EACH)
Save 7%
$67.99
2+ pack
($0.27/EACH)
Adams® Job Invoice Form, Ruled, 8" x 11", 2-Part, White, 100 Sheets/Pack (NC2817)
Item #: 901-468769
Carbonless job invoice sets for service industries
Dimensions: 8.5" x 11.44" x 1.1"
White original to copy and white duplicate with blue text
Adams Quitclaim, Deed, Form and Instructions, 8.5" x 11", 4 Sets/Book (LF298)
Item #: 901-571321
The quitclaim deed form is simple to use, easy to understand; enables you to file a transfer of ownership on a property
Form size: 11"L x 8.5"W
Form duplicate: carbon; comes in white
Money Receipt Forms, Carbonless, 3 Part, Hard Cover, 2-3/4" x 7", 200 Sets/Book (RED8L818)
Item #: 901-864876
Duplicates print black
NOTE ON NUMBERED FORMS: Sorry, but we are unable to fill requests for a specific number series
Safety tint on original rubs off if erased
Adams 2025 1099-R Tax Forms Kit, 5-Part, 2-Up, 10/Pack (STAX5R-25)
Item #: 901-24639767
2025 1099-R kit includes 10 5-part 1099-Rs and access to Adams Tax Forms Helper
For paper filers, the 2025 1099-R (copies B, C and 2) are due to your recipients by February 2, 2026; Copy A and 1096 are due to the IRS by March 2, 2026; eFile by March 31, 2026
1099-R forms are 5-part
