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Medical Arts Press® Colored End-Tab Half Pocket Folders; Green
Item #: 901-50654GN
Item #: 901-50654GN
Handy pocket, open on top and one side for ease of filing, keeps smaller items in place
Features double-thickness, full-cut end tabs with embossed score lines
Archival, acid-free stock for years of protection for stored materials
Medical Arts Press Kardex Match Reinforced End Tab File Folder, Straight Cut, Letter Size, Green, 50/Box (S-09484-GRN)
Item #: 901-24579598
Item #: 901-24579598
File folder is made of 11 pt. paper stock and comes in green
Features eight scored tic marks printed on the end tab for easy labeling; overall tab length: 8.63"
Reinforced across the top and right-hand tab, and features a 2'' bonded fastener on the inside front and back
Medical Arts Press® Chiropractic Registration and History Form, 250 Forms/Pack (21701)
Item #: 901-21701
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
$74.79
Per pack
($0.30/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)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 901-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
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
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)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-CMS12LC500
Item #: 901-CMS12LC500
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 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
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)
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-CMS12LC250
Item #: 901-CMS12LC250
Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$47.29
Per box
($0.19/EACH)
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 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® 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)
Sof-Form® Non-sterile Conforming Gauze Bandages; 75" L x 2" W, 96/Pack
Item #: 901-113612MED
Item #: 901-113612MED
Rayon/Polyester Material
Non-sterile
Latex-free
Medical Arts Press Welcome Registration Form, Eye Graphic
Item #: 901-21783
Item #: 901-21783
Type of form: Message sign
Size: 8" x 5"
Message type: Standard
$84.69
1 pack
($0.34/EACH)
Save 6%
$79.19
2+ pack
($0.32/EACH)
Adams Quitclaim, Deed, Form and Instructions, 8.5" x 11", 4 Sets/Book (LF298)
Item #: 901-571321
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
Custom Multi-Purpose Register Form, Classic Design, Small Format, 2 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D6092
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Compatible with 4 x 6" portable registers
7 lines enable most orders to fit on a single form
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
TOPS® Application for Employment, 2-Sided, 8-1/2 x 11", 50 Sheets/Pad, 2 Pads/Box (32851)
Item #: 901-370031
Item #: 901-370031
2-hole punched
Application complies with all legal requirements
Includes employment history, references, education, personal information, physical record, check-offs for special questions and space for interviewer's remarks
$33.79
1-3 box
Save 2%
$32.99
4+ box
Custom Multi-Purpose Register Form, Colors Design, Large Format, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D610T2
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
Medical Arts Press Eye Care Registration Form (20571)
Item #: 901-20571
Item #: 901-20571
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
Custom Multi-Purpose Register Form, Classic Design, Large Format, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D6102
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
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)
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