Page 8 of medical forms medical supplies first aid
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PhysiciansCare First Responder Kits (90142)
Item #: 901-90142M
Contains: Rolled gauze, eye pads, wash, tape and hand sanitizer
Blue plastic case has a weatherproof seal to protect and prolong contents
Dimensions: 2.88"(H) x 3.88"(W) x 7.5"(D)
Custom Referral for Treatment Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN132181R
Referral forms for physicians
4" W x 5-1/2" L
White 20# text stock; printed in black ink
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
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
Custom Referral Report Form Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN160501R
Referral forms for physicians
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
Custom 1-Sided Insurance Registration Forms, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFN105011R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
Medical Arts Press® Chart Divider Sets, 4 Tab
Item #: 901-33160
Provides Quick Reference to Patient Files
Each Set Consists Of 4 Color-Coded, Mylar-Reinforced Tabbed Dividers Including 3 Preprinted Tabs & 1 Write-On Erasable Tab
Pre-Printed Tabs Include History & Physical, Progress Notes, Insurance/Billing & Blank
Custom Cinch Tote Pet Care First Aid Kit
Item #: 901-QL46938
Contains necessary first aid items for active pets: scissors, tweezers, nitrile gloves, first aid tape, two gauze pads and two antiseptic towelettes.
Tote is available in a variety of bright colors and features a drawstring closure that can be held securely with a leash.
Compact design makes this item great for campers, vehicles, or offices.
Custom 1-Sided Patient Registration FormFamily™ Sheets, 8-1/2" x 11", 2-Hole Top Punched, 250 Sheets per Pack
Item #: 901-QFN103771R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in teal ink
Custom Carbonless 2-Part Referral Forms, 4" x 5-1/2", 50 Sets per Pad
Item #: 901-QFN160421R
Referral forms for physicians
4" W x 5-1/2" L
2-part, white/canary, carbonless; printed in black ink
Custom Carbonless 2-Part Examination Report Forms, 4" x 5-1/2", 50 Sets per Pad
Item #: 901-QFN131141R
Use to provide costs and services to patients and for use in patient charts
4" W x 5-1/2" L
2-part, white/canary, carbonless; printed in black ink
Custom Carbonless CMS Forms, 8-1/2" x 11", 100 Sheets per Pad
Item #: 901-QFW1471901
For use by all medical facilities for billing insurance companies, Medicaid and Medicare; aligned with the electronic HIPAA ASC X12N 837 Non-institutional Transaction Standard
8-1/2" W x 11" L
1-part, white, carbonless; carbon paper is required for duplicates
Custom 2-Part Snapset CMS Forms, 8-1/2" x 11", 500 Sets per Pack
Item #: 901-QFW1471701
Snapset form for use by all medical facilities for billing insurance companies, Medicaid and Medicare; aligned with the electronic HIPAA ASC X12N 837 Non-institutional Transaction Standard
8-1/2" W x 11" L
2-part, white/canary, carbonless
Medical Arts Press Chiropractic Registration and History Forms, Holistic Care
Item #: 901-15165
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, severity
Also includes areas for onset, effect on daily activities, and conditions
Custom Minor/Child Consent Form Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN134XX1R
For consent to provide treatment to a minor or child
5-1/2" W x 4" L
White 20# text stock; printed in black ink
Custom Carbonless 2-Part All-Purpose Excuse Slips, 4" x 5-1/2", 50 Sets per Pad
Item #: 901-QFN131241R
Excuse forms for injuries and illnesses
4" W x 5-1/2" L
2-part, white/canary, carbonless; printed in black ink
Medical Arts Press® 2-Part Optical Rx Blanks; Carbonless, 4x5-1/2"
Item #: 901-16029
2-part carbonless Rx blanks for eye-care field with copies that can be torn out or stored in book
Standard refill instructions
Specify state license and/or DEA numbers, if desired
Band-Aid Brand Flexible Fabric Adhesive Bandages, 1" x 3", 100/Box (4444)
Item #: 901-4444
100-count Band-Aid Brand Sterile Flexible Fabric Adhesive Bandages for first aid and wound care protection of minor wounds, cuts, scrapes and burns. Adhesive bandages make a great addition to wound care supplies and first aid kits
Made with Memory Weave fabric for comfort and flexibility, these first aid bandages stretch, bend, and flex with your skin as you move, and include a Quilt-Aid Comfort Pad designed to cushion & protect painful wounds which may help prevent reinjury
These Band-Aid Brand Flexible Fabric adhesive bandages stay on for up to 24 hours and feature a unique Hurt-Free Pad that won't stick to the wound as they wick away blood and fluids, allowing for gentle, pain-free removal
Custom Certificate of Professional Care Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN132111R
For certification of care
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
First Aid Only 2% Lidocaine HCI Antiseptic Burn Spray, 4 fl. oz. (13-040)
Item #: 901-813146
First aid/burn pump spray.
Comes in 4-ounces pump spray bottle.
General use first aid spray that helps to soothe burns.
Custom Record Release Authority Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN131091R
For use in patient charts
5-1/2" W x 4" L
White 20# text stock; printed in black ink
First Aid Only First Aid Burn Cream Packets, 1/32 oz., 10/Box (FAE-7011)
Item #: 901-800285
SmartCompliance Refill keeps supplies organized and stocked with the SmartTab ezRefill system
SmartCompliance refill is for First Aid Only part numbers 90608, 90580, 90659, 90660, 746000, 746004, 746005, 746006, 90578, 90658, 1000-FAE-0103, 1001-FAE-0103, 1300-FAE-0103, 1301-FAE-0103 and 1050-FAE-0103.
Cools and soothes minor burns, sun burns, scalds and abrasions