Page 2 of replacement forms for pegboard systems
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Accounting & Record Journals (105) -
Medical Forms (68) -
HR Forms (106) -
Tax Forms (118) -
Medical Charting (5) -
Desktop Computers (204) -
Business Forms (132) -
Custom Laser Middle Checks (122) -
Custom Laser Top Checks (122) -
Custom Charge Slips (118) -
Stage Equipment (101) -
Custom Service and Appointment Forms (82) -
Work Gloves (70) -
Storage Containers & Boxes (65) -
Copy & Printer Paper (57) -
Custom General Medical (51) -
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Clipboards (19) -
Headphones (18) -
Pegboard & Accessories (18) -
Commercial Office Desks (15) -
Custom Continuous Top Checks (13) -
POS Computers & Accessories (13) -
STEM Toys & Manipulatives (13) -
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Custom Laser High Security 3-On-A-Page Checks (12) -
Pet Health Records (12) -
Business Envelopes (11) -
Sketch Pads & Books (11) -
Custom Design Your Own Custom Forms (10) -
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Creative Teaching (2) -
Cyber Acoustics (1) -
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SUPCASE (3) -
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Teacher Created Resources (12) -
Tenikle (5) -
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Thermaltake (5) -
Tide (3) -
TOPS (48) -
Tripp Lite (4) -
Viper (4) -
Western Digital (3) -
Willow Creek (9) -
Wilson Jones (11) -
Xerox (4) -
YeaLink (2) -
Zebra (9)
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and up (542) -
and up (627) -
and up (656)
Product ratings
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Clinical (6) -
Laser Checks (264) -
1-Color (229) -
Standard (161) -
2-Color (142) -
Premium (117) -
High Security Checks (64) -
Blank Check Stocks (36) -
Deposit Slips (31) -
Documentation (31) -
Continuous Checks (26) -
Business Checks (22) -
Billing (18) -
Agreements (14) -
Design Your Own (8) -
Prescription Pads (8) -
Insurance (7) -
Charge Slip (6) -
Referral (6) -
Pet Health (5) -
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Medicare (2) -
Physical (1)
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Yes (755)
Customizable
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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"
Medical Arts Press® Standard Preprinted Chart Divider Tabs, Consent Forms, Light Green
Item #: 901-30580
Item #: 901-30580
Light green tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
Medical Arts Press Registration Forms Featuring Updates Section/Two Clear Toothbrushes
Item #: 901-35064
Item #: 901-35064
Thorough questions help patients provide complete information on background, insurance, phone numbers, dental and health history, medications, and allergies
Improved forms increase practice efficiency
Captures adolescent patient information: minor check box; school name, address, phone; dependent insurance coverage
Medical Arts Press Chiropractic Forms, Travel Card (21704)
Item #: 901-21704
Item #: 901-21704
Set Up In Popular S.O.A.P. Format of Subjective, Objective, Assessment & Plans
Allows Carryover Of Chief Complaints & Treatment
Printed On Both Sides to Track Up to 20 Visits On One Card
Medical Arts Press Comprehensive Examination Form (21700)
Item #: 901-21700
Item #: 901-21700
4-page document records clinical detail from a patient's comprehensive exam
Includes sections to record results from clinical tests
Includes top 25 ortho/neuro tests
Medical Arts Press Chiropractic Registration and History Forms, Holistic Care
Item #: 901-15165
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
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
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® Consent Form, Dental Treatment, Bilingual, 250/Pack (21153)
Item #: 901-21153
Item #: 901-21153
Size: 8 1/2" x 11"
Paper color: White
Number of parts: 1
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
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
Medical Arts Press Welcome Registration Form, Paw Print in Middle
Item #: 901-20630
Item #: 901-20630
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
Medical Arts Press® Progress Notes; Purple FormFamily™
Item #: 901-20643
Item #: 901-20643
Record detailed chronological notes for ongoing patient care pertaining to illnesses, treatments, and progress
Printed in blue ink on white 24-lb. bond paper
2 Predrilled holes on top and 5 on the side
Medical Arts Press Podiatry Registration and History Forms, Love Your Feet (15143)
Item #: 901-15143
Item #: 901-15143
Features personal and insurance information sections that enable you to set up your patient s account with ease
Contains a history section to provide chief complaint, current and past symptoms and previous podiatric treatment information
Size: 8-1/2x11"
Medical Arts Press® Registration Form Featuring Updates Section/Blue Wave
Item #: 901-33018
Item #: 901-33018
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
Medical Arts Press® Dental Registration and History Form; Purple and Teal Design
Item #: 901-20579
Item #: 901-20579
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
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
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
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
Item #: 901-2408453
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
Medical Arts Press® Take Home Instructions
Item #: 901-13870M
Item #: 901-13870M
125 sheets per pack
Form size: 8-1/2" x 11"
Medical Arts Press® Tamper-Resistant Laser RX Blanks; 1 RX Blank/Sheet, Indiana
Item #: 901-PRES1LIN
Item #: 901-PRES1LIN
Blank Format, Top Left Location
Meets Indiana Requirements
Security Features include: blue void pantograph, security backprinting, reverse Rx symbox, checkboxes
Medical Arts Press® Continuation Notes, White, No Punch Option
Item #: 901-20131NP
Item #: 901-20131NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
TOPS 2024 1099 Tax Form, 1-Part, 2-Up, 100 Forms/Pack (LBLANKQ)
Item #: 901-5144
Item #: 901-5144
2024 1099 Tax Form 2 Up laser cut sheet with blank front and back with 1/2" right stub
Laser printer compatible
Printed in black ink
$23.39
Per pack
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