Page 18 of replacement superbill forms
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Tax Forms (152) -
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LUX W-2 / 1099 Envelopes (5 3/4 x 8) 1000/Pack, White (7489-W2-1000)
Item #: 901-23995922
Item #: 901-23995922
Comes in White
Dimensions: 5.75"L x 8"W
Moistenable Glue Sealing Method
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Carton (00005)
Item #: 901-FF5
Item #: 901-FF5
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 10.75" x 23.27" files
$219.99
Per carton
($18.33/EACH)
Adams Job Invoices, 11.44"L x 8.5"W, 50 Sets/Pack (NC3817-50)
Item #: 901-NC381750
Item #: 901-NC381750
This job-invoice form is designed for service and repair businesses
Form size: 11.44"L x 8.5"W; detached: 10.94"L x 7.88"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
Adams 2-Part Carbonless Work Orders, 5.5625" x 8.4375", 10 Sets/Book, /Box (DC5805-10)
Item #: 901-DC580510
Item #: 901-DC580510
Sales orders book to keep accurate records
White pages to create originals and canary pages for copies
Pack of 10.
$126.99
1-2 pack
($12.70/EACH)
Save 27%
$92.99
3+ pack
($9.30/EACH)
LUX W-2 / 1099 Envelopes (5 3/4 x 8) 500/Pack, White (7489-W2-500)
Item #: 901-23995918
Item #: 901-23995918
Comes in White
Dimensions: 5.75"L x 8"W
Moistenable Glue Sealing Method
Custom Purchase Orders - Classic Small Booked,3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D91B3
Keep track of everything you buy! Professional Purchase Orders have preprinted columns and room to list quantities, stock numbers, descriptions and more
Signature line prevents unauthorized purchases
Create clean records: Carbonless forms stay tightly aligned for clear, clean copies
TOPS™ Carbonless Weekly Time Sheet, 2-Part, 100/Pack (NC9507)
Item #: 901-644311
Item #: 901-644311
Carbonless Weekly time sheet is a neat and orderly way to track employee work hours
Dimensions: 0.83"H x 5.5"W x 9"L, 8.5" x 5.5" (detached form), 9" x 5.5" (sheet)
Color: White (primary page), canary (duplicate page), blue (ink)
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 901-398026
Item #: 901-398026
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
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
Custom Cash Receipt Book, 3-to-a-page, Triplicate, 150 Sets/Book
Item #: 901-TCRB1173
3-Up
Triplicate
150 sets per book
Custom Cash Receipt Book, 3-to-a-page, Duplicate, 225 Sets/Book
Item #: 901-TCRB1172
3-Up
Dupllicate
225 sets per book
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 Standard Preprinted Chart Divider Tabs, Patient Information, Orange (30583)
Item #: 901-30583
Item #: 901-30583
Orange tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
$9.49
Per pack
($0.09/EACH)
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1193
4-Up
Triplicate
200 sets per book
Custom Cash Receipt Book, 3-to-a-page, Triplicate, 150 Sets/Book
Item #: 901-TCRB1183
3-Up
Triplicate
150 sets per book
Adams Record Book, 8 Columns, 11" x 8.5", White, 50 Sheets/Book (S1185)
Item #: 901-628054
Item #: 901-628054
The record book is a great product for busy offices, walk-in advising centers, call centers, and other high-traffic businesses to keep track of activities and follow-ups
White paper pages
Includes 100 letter-size pages
$10.99
Per each
Custom Small Format Bills of Lading with Carbon, 3 Parts, 1 Color Printing, 8 1/2" x 7", 1000/Pack
Item #: 901-D1263
Get the details: Special section to identify hazardous materials - these forms meet all D.O.T. and I.C.C. regulations
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint with choice of typeface
Custom Cash Receipt Book, 4-to-a-page, Duplicate, 300 Sets/Book
Item #: 901-TCRB1192
4-Up
Duplicate
300 sets per book
Custom Cash Receipt Book, 3-to-a-page, Duplicate, 225 Sets/Book
Item #: 901-TCRB1112
3-Up
Duplicate
225 sets per book
Custom Bill of Lading - Large Carbonless, 4 Parts, 1 Color Printing, 8 1/2" X 11" ,250/Pack
Item #: 901-D62254
Meets regulations: These forms meet all D.O.T. and I.C.C. regulations
Generous description area: 17 description lines
Identify hazardous materials. Special section to identify hazardous materials
Custom Progress Notes, 8-1/2" x 11", 24# White Stock, 250 Sheets per Pack
Item #: 901-QFW2054101
For use in patient charts and files
8-1/2" W x 11" L
White 24# ledger stock, pre-printed in black ink
Custom Continuation Notes, 8-1/2" x 11", 500 Sheets per Pack
Item #: 901-QFW2013X01
For use in patient charts and files
8-1/2" W x 11" L
60# text stock, pre-printed in black ink; available in pink, yellow, green, and blue for setting up a color-coding system
Adams 2-Part Petty Cash Carbonless Receipts Book, 2.75" x 5", 200 Forms/Book (ABF SC1156)
Item #: 901-SC1156
Item #: 901-SC1156
Money and rent receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 5"W; detached form size: 5"L x 2.75"W
2-Part Carbonless forms for accurate record keeping
$21.99
Per each
Adams 3-Part Carbonless Sales Orders, 8.44"L x 5.56"W, 50 Sets/Book (TC5805)
Item #: 901-196121
Item #: 901-196121
Sales and order books are ideal for keeping proper records of orders and sales
Size: 8.44"L x 5.56"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
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