Page 26 of hcfa cms 1500 health insurance business forms
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Custom Multi-Purpose Sales Books, Colors Design, Medium Format, 2 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D2509T2
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 12 lines provide ample room so orders can fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record; 50 sets per book
Medical Arts Press Treatment Notes, Tooth Diagram, Non-Imprinted, No Punch
Item #: 901-21150NP
Set per pack (uom): 250 per pack
Size: 8 1/2" x 11"
Dental exam chart format
$51.99
Per pack
($0.21/EACH)
Custom Release to School / Work Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131071R
Return to work or school forms
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Service Orders, Road/Towing, Booked, Small Format 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D25252
Manage tasks: Small format business form simplifies paperwork at the shop or site with pre-printed checkboxes and itemization of charges
Track customer acceptance: Signature line for customer authorization prevents disputes
Stay organized: Bottom copy stays bound in towing receipt book for a permanent record; 50 sets per book
Adams® Home and Office Budget Record Journal, Ruled, Blue (AFR31)
Item #: 901-584361
Paper is white and blue in color, and the cover is made of polypropylene
30 sheets featuring 64 forms
Dimensions: 10" x 7"
$18.99
Per each
Custom Multi-Purpose Sales Books, Classic Design, Large Format, 2 Parts, 1 Color Printing, 5.5" x 8.5"500/Pack
Item #: 901-D552
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 17 lines enable even the biggest orders to fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record
Custom Service Orders, Carbon, Small Format 3 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 500/Pack
Item #: 901-D3073
Custom printed business forms, with time-saving features & expert personalization
Signature line for customer authorization prevents disputes
Carbon-backed sets available in 2, 3 or 4 parts
Custom Snap Apart Sales Slips, 2 part, 7" x 4-1/4", 500 Sheets
Item #: 901-TGSCC6532
2-part carbonless
Sales slip measures 7"Hx4-1/4"W
500 loose sheets
One-Write PostingIndex Tabs, A-Z, 11x11 (100009N)
Item #: 901-100009
The best choice for basic general expense check writing
Sturdy A-Z metal-tabbed index cards divide ledgers for easy reference
Indexes only
$127.99
Per pack
ComplyRight 1-Part Personnel Folder, 25/Pack (A223)
Item #: 901-1949180
Personnel folder keeps quick information on the outside and confidential records on the inside
One-part personnel folder
Contains 25 folders per package
$96.99
Per each
Zapco Invoices, 8.5" x 11", 500 Sets/Book (MBF-1-500BWH51F)
Item #: 901-195337LMP
Paper Weight: 24 lbs.
500/pack
Finish: Bond
$55.19
Per ream
Custom Dental Appointment Excuse Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131421R
Excuse forms for dental appointments
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Appointment Excuse Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN131531R
Excuse forms for work or school
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
Medical Arts Press® Tamper-Resistant Secure Rx Blanks; Single Sheet
Item #: 901-15970
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™ HIPAA Notice of Privacy Practices Poster (A2123)
Item #: 901-728245
Communicates mandatory HIPAA rules to patients
Laminated
Informs patients of their rights and responsibilities under HIPAA regulations
$34.99
Per each
ComplyRight Concealed Cover Confidential Employee Record Folder, Pack of 25 (A0653)
Item #: 901-2549003
Two spacious pockets provide additional storage room for documents
Specific information can be recorded right on the pockets
Attorney developed and approved to ensure 100% compliance
$124.99
Per each
Custom Work Orders, Carbonless, Small Format 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D2113
Custom printed business forms, with time-saving features & expert personalization
16 lines for materials, plus space for labor & other costs
Signature line for customer authorization prevents disputes
Custom Service Orders, Road/Towing, Booked, Small Format 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D25253
Manage tasks: Small format business form simplifies paperwork at the shop or site with pre-printed checkboxes and itemization of charges
Track customer acceptance: Signature line for customer authorization prevents disputes
Stay organized: Bottom copy stays bound in towing receipt book for a permanent record; 50 sets per book
Custom All-Purpose Excuse Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131521R
Excuse forms for work or school
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Work Orders, Job, Carbonless, Small Format 3 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 500/Pack
Item #: 901-D65583
Custom printed business forms, with time-saving features & expert personalization
Extra-large work description area, including 13 lines for detailed write-ups
Signature line for customer authorization prevents disputes
Custom Illness/Injury Excuse Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131511R
Excuse forms for injuries and illnesses
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Carton (00007)
Item #: 901-FF7
String & button, basic-duty box perfect for storing checks and forms
White/Blue corrugated storage box with standard assembly is sturdy and lightweight
Check Size, holds 9.5" x 23.27" files
$276.99
Per carton
($23.08/EACH)
ComplyRight™ Expanded Employee Records Folder, Letter Size, Pack of 25 (A5008)
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
$165.99
1-2 each
Save 19%
$134.99
3+ each
ComplyRight™ HIPAA Protecting Patient Privacy Poster (A2126)
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"
$38.99
1-4 each
Save 5%
$36.99
5+ each
