Page 22 of replacement superbill forms
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Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30465C)
Item #: 901-30465C
Solid Color Style D Purple without Credit Card Information Laser Statements
Size: 8.5 X 11 inch
500/Package
$33.99
Per pack
($0.07/EACH)
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30465D)
Item #: 901-30465D
Solid Color Style D Laser Statements
Size: 8.5 X 11 Inch
500/Package
$41.89
Per pack
($0.08/EACH)
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 510/Pack (19906B)
Item #: 901-19906B
Features Visa, Mastercard, Discover & American Express Logos
Easy-Tear Perforation Allows Top To Be Detached & Returned with Payment
Perforation Is 3.68 From top Of Statement
$58.39
Per pack
($0.12/EACH)
Rediform Money Receipt Books, Carbonless, 2 Parts, 2 3/4" x 5", 50 Sheets (8L820)
Item #: 901-2675655
Size: 2 3/4" x 5"
50 forms per book
Binding: Bound
$16.49
Per each
Custom Cash Receipt Books, Classic Design, 3 To Page, 2 Parts, 1 Color Printing, 6 3/4" x 8 1/2", 500/Pack
Item #: 901-D6932
Simple: An easy way to track payments
Get the details: Receipt form features preprinted areas that document payment, payment method & account balance
Stay organized: Bottom copy stays bound in book for a permanent record
Custom Feline Pet Treatment Records, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFW2056301
Pet health record form
8-1/2" W x 11" L
Green 110# card stock, pre-printed in black ink
ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123)
Item #: 901-728245
Communicates mandatory HIPAA rules to patients
Laminated
Informs patients of their rights and responsibilities under HIPAA regulations
$33.99
Per each
TOPS 4-Part Carbonless Auto Repairs, 11 7/16" x 8 1/2", 50 Sets/Book (3869)
Item #: 901-2667641
11 7/16" x 8 1/2"
50 forms
1 form per page
$39.29
Per pack
Adams Carbonless Rental Applications, 8.5" x 11", 4 Sets/Book (LF310)
Item #: 901-571323
Specify the rights and obligations of both landlord and tenant
Includes four sets of forms, instructions and Lead Paint Disclosure CD-ROM
Use to lease residential rental property to a tenant and outline the terms and conditions for payment
$11.59
Per each
Adams Carbon Rental Applications, 8.5" x 11", (LF255)
Item #: 901-571368
The easy-to-use, month-to-month rental agreement form allows you to lease residential property on a monthly basis, specifying all terms and conditions from security deposits to late charges
Form size: 11"L x 8.5"W
Form duplicate: carbon; comes in white
$12.69
Per each
TOPS Employee Record File Straight Cut, 20/Pack (TOP 3287)
Item #: 901-3287
Employee personal files include all you need to build a complete employee record
20 personal files per pack
Comes in white with green ink
$37.09
5+ pack
($1.85/EACH)
Rediform 3-Part Carbonless Purchase Order, 8 1/2" x 11", 50 Sets/Book (1L147)
Item #: 901-65084
Purchase order forms come in a manifold book and are carbonless with blue print
Consecutively numbered in red
Three-Part forms
$45.69
1-2 each
Save 21%
$35.99
3+ each
ComplyRight 1-Part Personnel Folder, 25/Pack (A222)
Item #: 901-1949183
Expandable confidential personnel folder protects legally sensitive information
One-part personnel folder
Contains 25 files per package
$139.09
1-2 each
Save 18%
$112.99
3+ each
ComplyRight 1-Part Personnel Folder, 25/Pack (A223)
Item #: 901-1949180
Personnel folder keeps quick information on the outside and confidential records on the inside
One-part personnel folder
Contains 25 folders per package
$93.39
Per each
Rediform invoce Book, 5 1/2" x 7 7/8", Carbonless Duplicate, 50 Sets/Book
Item #: 901-RED7L721
Consecutively numbered in red.
Wraparound stop card prevents write-through to other invoice sets.
Two-hole punched to store in post binder.
$12.29
Per each
Custom Small Lined Invoices, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D108T3
Get the details: Includes 13 description lines on this lined form to record the invoice details
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (33176D)
Item #: 901-33176D
Credit card alert helps speed payment - VISA and MasterCard only
Includes patient update
Easy-tear perforation is 3-11/16" from top for removal of white payment stub
$48.89
1-3 pack
($0.10/EACH)
Save 5%
$45.99
4+ pack
($0.09/EACH)
ComplyRight 2025-2026 Academic Year Attendance Calendar Cards, 50/Pack (A43005015)
Item #: 901-1949178TFP
Features an academic year calendar format (August 1 – July 31) and easy coding system
Efficient calendar format makes tracking absences quick and convenient
Reverse side includes plenty of space to record notes and warnings
$89.29
1-2 pack
Save 18%
$72.99
3+ pack
ComplyRight™ Expanded Employee Records Folder, Letter Size, Pack of 25 (A5008)
Item #: 901-1949181
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Expanded folder has 1.5” spine which holds more than 100 employee documents
$161.49
1-2 each
Save 18%
$130.99
3+ each
Medical Receipt Books; Blank
Item #: 901-MRB109NI
Keep a permanent record of patient payments in chronological order
3-parts; parts one & two are perforated, part three remains in book as permanent record
Includes insert to prevent write-through
Custom Graph Paper, Standard 1/4" Grid, 1 Color Printing, Padded, 8 1/2" x 11", 500 Sheets /Pack
Item #: 901-2051DQ
Lines at top of each sheet to list project dates & details
Ruled in 1/4" gray grid
50 sheets per pad; 10 pads per pack of 500 sheets
ComplyRight 2025-2026 Fiscal Year Attendance Calendar Cards, 50/Pack (A42005015)
Item #: 901-1949176TFP
Features a fiscal year calendar (July 1 - June 30) and easy coding system
Efficient calendar format makes tracking absences quick and convenient
Reverse side includes plenty of space to record notes and warnings
$85.99
1-2 pack
Save 18%
$69.99
3+ pack
ComplyRight Expandable Confidential Personnel Envelo-File® (A0720)
Item #: 901-1949187
1.5" spine gives extra room for documents
Size: 11.75" x 9.5" x 1.5"
Protects legally sensitive documents
$123.19
Per each
ComplyRight 3-Part Employee Warning Notice, Carbonless, Pack of 50 (A2191)
Item #: 901-2548965
Includes action to be taken, as well as explains the consequences of repeat offenses
Includes ComplyRight™ tips for optimal, compliant use
Give one copy to the employee and keep the other for recordkeeping
$115.79
Per each
