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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
$72.19
1 pack
($0.29/EACH)
Save 5%
$67.99
2+ pack
($0.27/EACH)
Medical Arts Press Dental Registration and Treatment Form, 4-Pages
Item #: 901-20551
Type of form: Registration and treatment form
250 per pack
Size: 8 1/2" x 11"
$76.49
1-3 pack
($0.31/EACH)
Save 5%
$71.99
4+ pack
($0.29/EACH)
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
$85.99
Per pack
($0.34/EACH)
Medical Arts Press Dental Registration and History Form, Welcome, Toothbrush, Teal Design, No Punch
Item #: 901-20582NP
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
$55.19
Per pack
($0.22/EACH)
Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
Item #: 901-33018
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$20.59
Per pack
($0.08/EACH)
$20.59
Per pack
($0.08/EACH)
Medical Arts Press Compact Eye Care Registration and History Card (20020)
Item #: 901-20020MAP
Type of form: Registration and history card
250 per pack
Size: 5" x 8"
$18.99
1 pack
($0.08/EACH)
Save 10%
$16.99
2+ pack
($0.07/EACH)
Medical Arts Press® Veterinary Animal Record Progress Notes, Narrow Ruled
Item #: 901-20475
Type of form: Veterinary progress note
250 per pack
Size: 8 1/2" x 11"
$44.59
Per pack
($0.18/EACH)
Medical Arts Press Eye Care Registration Form (20571)
Item #: 901-20571
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$66.89
Per pack
($0.27/EACH)
Medical Arts Press Narrow Ruled Veterinary Animal Record Progress Notes (20474)
Item #: 901-20474
Form heading includes space for owner s information and animal s identifying information
Top of page reinforced and two-hole punched
Reverse side is printed with Date and Progress Notes column headings
$103.99
1 pack
($0.42/EACH)
Save 5%
$97.99
2+ pack
($0.39/EACH)
Staples 3" x 5" Index Cards, Lined, White, 50 Cards/Pack, 3 Pack/Carton (TR50991)
Item #: 901-257840
Take notes, record recipes, or keep track of large projects with index cards
3" x 5" narrow-ruled cards
White index cards
$6.59
1-3 pack
Save 9%
$5.99
4+ pack
Staples™ 3" x 5" Index Cards, Lined, Neon, 50 Cards/Pack, 2 Packs/Carton (TR50994)
Item #: 901-381885
Take notes, record recipes, or keep track of large projects with index cards
3" x 5" narrow ruled cards
Assorted neon colors index cards
$13.89
1-5 pack
Save 6%
$12.99
6+ pack
Staples® Lined Index Cards, 5" x 8", White, 100 Cards/Pack (ST51016-CC)
Item #: 901-51
Take notes, record recipes, or keep track of large projects with index cards
5" x 8" narrow-ruled front and blank back
White index cards
$7.79
Per pack
($0.08/EACH)
Staples™ 5" x 8" Index Cards, Lined, White, 100/Pack (TR50987)
Item #: 901-2622137
Take notes, record recipes, or keep track of large projects with index cards
5" x 8" narrow-ruled cards
White index cards
$11.39
Per each
Staples 5" x 8" Index Cards, Blank, White, 500/Pack (TR51005)
Item #: 901-233460
Take notes, record recipes, or keep track of large projects with index cards
5" x 8" blank cards
White index cards
$22.29
Per pack
Staples 5" x 8" Index Cards, Lined, White, 500/Pack (TR51006)
Item #: 901-233478
Take notes, record recipes, or keep track of large projects with index cards
5" x 8" narrow-ruled front and blank back
White index cards
$20.19
Per pack
Staples 3" x 5" Index Cards, Lined, Assorted Colors, 300/Pack (TR50998)
Item #: 901-916330STP
Take notes, record recipes, or keep track of large projects with index cards
3" x 5" narrow-ruled cards
Index cards come in assorted neon colors
$10.39
Per pack
($0.03/EACH)
Staples 3" x 5" Index Cards, Lined, White, 500/Pack (TR51009)
Item #: 901-233601
Take notes, record recipes, or keep track of large projects with index cards
3" x 5" narrow-ruled cards
White index cards
$12.69
Per pack
($0.03/EACH)
Staples® Index Cards, 3" x 5", White, 100 Cards/Pack (ST51008-CC)
Item #: 901-30
Take notes, record recipes, or keep track of large projects with index cards
3" x 5" blank cards
White index cards
$4.19
1-5 pack
($0.04/EACH)
Save 9%
$3.79
6+ pack
($0.04/EACH)
Staples 3" x 5" Index Cards, Blank, White, 500/Pack (TR51010)
Item #: 901-233593
Take notes, record recipes, or keep track of large projects with index cards
3" x 5" blank cards
White index cards
$12.69
Per pack
($0.03/EACH)
Staples 3" x 5" Index Cards, Narrow Ruled, White, 100/Pack (TR50993)
Item #: 901-296608
Take notes, record recipes, or keep track of large projects with index cards
3" x 5" narrow-ruled cards
White index cards
$3.59
Per pack
($0.04/EACH)
Staples Brand 3" x 5" Index Cards, Lined, White, 100/Pack (ST51013-CC)
Item #: 901-63500Q
Take notes, record recipes, or keep track of large projects with index cards
3" x 5" narrow ruled cards
White index cards
$3.89
Per pack
Staples 3" x 5" Index Cards, Lined, Assorted Colors, 100/Pack (TR51004)
Item #: 901-496093QQ
Take notes, record recipes, or keep track of large projects with index cards
3" x 5" narrow-ruled cards
Index cards come in assorted colors
$7.29
Per pack
Staples 3" x 5" Index Cards, Graph Ruled, White, 100/Pack (TR50996)
Item #: 901-02035
Take notes, record recipes, or keep track of large projects with index cards
3" x 5" graph ruled cards
White index cards
$4.09
Per pack
($0.04/EACH)
