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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)
Adams Write 'N Stick 2-Part Carbonless Receipts Book, 2.75" x 4.75", White, 200 Forms/Book (SC1152WS)
Item #: 901-SC1152WS
Item #: 901-SC1152WS
Receipt book is consecutively numbered for easy organization
Business-form size: 2.75"L x 4.75"W
2-Part Carbonless forms for accurate record keeping
$25.89
Per each
Adams 3-Part Carbonless Receipts Hardbound Book, 2.75"L x 7"W, 200 Forms/Hardbound Book (TCH1185)
Item #: 901-TCH1185
Item #: 901-TCH1185
Money receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 7"W
3-Part Carbonless forms for accurate record keeping
$53.99
Per each
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
Item #: 901-13377
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
Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4"
Item #: 901-16020
Item #: 901-16020
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Item #: 901-16035
Item #: 901-16035
Tamper-resistant Rx pad features 5 security features
Alter-proof blue pattern background to ensure there are no erasures or modifications of information - look and regulations may vary state to state
Void Pantograph — the word "void" will appear when photocopied
TOPS™ Carbonless General Purpose Form, 2-Part, 100 Sheets/Pack (NC2581)
Item #: 901-301770
Item #: 901-301770
Two-part all-purpose forms for sales, orders, purchase orders, and credit memos
Dimensions: 8.5" x 5.67" (detached form), 8.5" x 5.12" (full sheet)
White original top copy for customers, canary duplicate copy for your records with a blue ink
ComplyRight 2026 Attendance Calendar File Folder, 25 Forms/Pack (A3050)
Item #: 901-2549040
Item #: 901-2549040
Folder provides a calendar on front for quick and easy attendance tracking
Two pockets inside of folder for storing paper records
Attorney-approved to ensure 100% compliance
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Item #: 901-16010MAP
Item #: 901-16010MAP
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
ComplyRight Personnel Folders, 3-Part, 25 Forms/Pack (A3103)
Item #: 901-1949185TFP
Item #: 901-1949185TFP
Contains 3 folders: Hiring/Employment History, Payroll/Tax and Benefits/Insurance
Back side of organizer jacket explains what records you must keep and for how long
Organizer: 9.5" x 11.875" x 1.75"
TOPS 2-Part Money/Rent Receipt Book, 5.37" x 2.75", White, 50 Forms (46820)
Item #: 901-745091
Item #: 901-745091
5 3/8" x 2 3/4"
50 ruled forms
1 form per page
$13.99
1-6 each
Save 7%
$12.99
7+ each
ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
Item #: 901-24602228
Item #: 901-24602228
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 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
TOPS™ Carbonless Statement Book, 2-Part, 50 Forms/Book, 3 Pads/Pack (DC5812-3)
Item #: 901-448957
Item #: 901-448957
Carbonless Statement book is a great, low-cost way to keep your customer accounts current
Dimensions: 1.2"H x 5.56"W x 8.44"L, 7.94" x 5.56" (detached form), 8.44" x 5.56" (sheet)
Color: White (primary page), canary (duplicate page), blue (ink)
$24.59
Per each
ComplyRight Employee Warning Notice Forms, 50/Pack (AR0395)
Item #: 901-712137
Item #: 901-712137
Plus, this handy form includes space for employee and supervisor signatures.
50 Pack
Size: 81/2” x 11”
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
Custom Carbonless 2-Part Forms, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFNL2P1S1R
Design your own forms using your own artwork
8-1/2" W x 11" L
2-part, white/canary, carbonless
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
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Item #: 901-20743
Item #: 901-20743
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
Screens for artificial heart valves, artificial joints, heart
$73.69
Per pack
($0.29/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
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)
Quill Brand® 9.5" x 11" Continuous Form Paper, 18 lbs., 92 Brightness 2550 Sheets/Carton (710608)
Item #: 901-710608
Item #: 901-710608
Continuous form bond paper
Paper weight: 18 lbs.
Size: 9-1/2x11" (8-1/2" width with carrier strips removed)
$107.99
Per carton
Quill Brand® 9.5" x 11" 4 Part Form Paper, 15 lbs., 92 Brightness, 850 Sheets/Carton (710754)
Item #: 901-710754
Item #: 901-710754
4-part form paper produces letter-size originals and three copies fast and fuss-free
Paper weight: 15 lb. white top sheet, 15 lb. bottom sheets
8-1/2x11" without carrier strips (9-1/2x11" with 1/2" standard perforated carrier strips)
$283.89
Per carton
ComplyRight 2026 Time Off Request and Approval Form, 2-Part, 50 Forms/Pack (A0030)
Item #: 901-24202397
Item #: 901-24202397
Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
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