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Page 27 of replacement superbill forms

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Best matchPrice: High-LowPrice: Low-HighSaleRating: High-Low
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Custom Carbonless 2-Part Equine Superbills, 8-1/2 x 11, 250 Sets per Pack
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Custom Carbonless 2-Part Equine Superbills, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFN103481R
Item #: 901-QFN103481R
Pricing details
Use to provide costs and services to patients
8-1/2" W x 11" L
2-part, white/canary, carbonless; printed in black ink
$140.99
1 pack
($0.56/EACH)
Save 36%
$89.99
20+ pack
($0.36/EACH)
Customize
Earn 140 points
Free delivery
Custom 2-Sided Progress Notes, 8-1/2 x 11, 24# White Stock, 250 Sheets per Pack
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Custom 2-Sided Progress Notes, 8-1/2" x 11", 24# White Stock, 250 Sheets per Pack
Item #: 901-QFN117571R
Item #: 901-QFN117571R
Pricing details
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
$109.99
1 pack
($0.44/EACH)
Save 34%
$72.99
20+ pack
($0.29/EACH)
Customize
Earn 109 points
Free delivery
Custom Treatment Notes, 8-1/2 x 11, 250 Sheets per Pack
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Custom Treatment Notes, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFN105601R
Item #: 901-QFN105601R
Pricing details
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
$104.99
1 pack
($0.42/EACH)
Save 38%
$64.99
20+ pack
($0.26/EACH)
Customize
Earn 104 points
Free delivery
Custom Copy Statements, 5-1/2 x 6-3/4, 500 per PackCustom Copy Statements, 5-1/2 x 6-3/4, 500 per Pack
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Custom Copy Statements, 5-1/2" x 6-3/4", 500 per Pack
Item #: 901-QFN1005X1R
(1)
Item #: 901-QFN1005X1R
Pricing details
Use to provide costs and charges to patients
5-1/2" W x 6-3/4" L - Flat
White 80# cover stock, printed in black ink
$72.99
1 pack
($0.15/EACH)
Save 42%
$41.99
20+ pack
($0.08/EACH)
Customize
Earn 72 points
Free delivery
Adams 2-Part Carbonless Purchase Order, 8 3/8 x 11 7/16, 50 Sets/Book (DC8131)Adams 2-Part Carbonless Purchase Order, 8 3/8 x 11 7/16, 50 Sets/Book (DC8131)
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Adams 2-Part Carbonless Purchase Order, 8 3/8" x 11 7/16", 50 Sets/Book (DC8131)
Item #: 901-301655
(14)
Item #: 901-301655
2-part carbonless purchase order formbook in white, canary paper sequence
Consecutively numbered within each book
Space at top for company stamp
$21.99
1-9 each
Save 14%
$18.99
10+ each
Add to cart
Earn 21 points
Free delivery w/ $25+
Custom Dental Charge Slips, 4 x 5-1/2, 100 Sheets per Pad
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Custom Dental Charge Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131151R
Item #: 901-QFN131151R
Pricing details
Use to provide costs and services to patients
4" W x 5-1/2" L
White 20# text stock; printed in black ink
$8.59
5-9 pad
($0.09/EACH)
Save 49%
$4.39
40+ pad
($0.04/EACH)
Customize
Earn 42 points
Free delivery w/ $25+
Adams 2-Part Carbonless Invoices, 5.5625 x 8.4375, 50 Sets/Book (DC5840)
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Adams 2-Part Carbonless Invoices, 5.5625" x 8.4375", 50 Sets/Book (DC5840)
Item #: 901-DC5840
(219)
Item #: 901-DC5840
Invoice book for keeping financial records of sales
White sheets for originals and canary for copies
Pack of one containing 50 invoices per book
$9.49
1-5 each
Save 5%
$8.99
6+ each
Add to cart
Earn 9 points
Free 1-2 day delivery w/ $25+
Medical Arts Press® Duplicate Rx Books; Alter-Proof, Horizontal
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Medical Arts Press® Duplicate Rx Books; Alter-Proof, Horizontal
Item #: 901-16024
(9)
Item #: 901-16024
Tamper-resistant Rx pad features 5 security features; meets October 1st 2008 Medicaid Requirements
Alter-proof blue pattern background to ensure there are no erasures or modifications of information
Void Pantograph — the word "void" will appear when photocopied
See details
Free delivery w/ $25+
Price drop
Adams Time Sheets, 100/Pad, 2 Pads/Pack (ABF 9507ABF)
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Adams Time Sheets, 100/Pad, 2 Pads/Pack (ABF 9507ABF)
Item #: 901-124495
(34)
Item #: 901-124495
Track weekly time, including morning, afternoon, and overtime using these time sheets
Number of parts: 1
Contains 100 sheets per pad, two pads per package
$9.99
Per pack
Add to cart
Earn 9 points
Free 1-2 day delivery w/ $25+
Custom Classic Design, Large Format Shipping Invoices,4 Parts, 1 Color Printing, 8 1/2 x 11, 500/Pack
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Custom Classic Design, Large Format Shipping Invoices,4 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D1064
Item #: 901-D1064
Pricing details
Generous description area: 22 description lines
Convenient snapset format
Create clean records: Carbonless forms stay tightly aligned for clear, clean copies
$419.99
1 pack
($0.84/EACH)
Save 34%
$278.99
4 pack
($0.56/EACH)
Customize
Earn 419 points
Free delivery
Custom Bills of Lading - Small Carbonless, 4 Parts, 1 Color Printing, 8 1/2 x 7, 250/Pack
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Custom Bills of Lading - Small Carbonless, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D62054
Item #: 901-D62054
Pricing details
Meets regulations. These forms meet all D.O.T. and I.C.C. regulations. Please note: For Non-Hazmat shipments only
Get the details: 6 description lines
Consecutively numbered for easy recordkeeping
$272.99
1 pack
($1.09/EACH)
Save 42%
$157.99
16 pack
($0.63/EACH)
Customize
Earn 272 points
Free delivery
Custom Bills of Lading - Small Carbonless, 4 Parts, 1 Color Printing, 8 1/2 x 7, 250/Pack
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Custom Bills of Lading - Small Carbonless, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D72004
Item #: 901-D72004
Pricing details
Special section to identify hazardous materials
Meets regulations. These forms meet all D.O.T. and I.C.C. regulations
Get the details: 8 description lines
$272.99
1 pack
($1.09/EACH)
Save 42%
$157.99
8 pack
($0.63/EACH)
Customize
Earn 272 points
Free delivery
Custom Job Work Orders, Booked, 2 Parts, 1 Color Printing, 5 x 8, 500/Pack
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Custom Job Work Orders, Booked, 2 Parts, 1 Color Printing, 5" x 8", 500/Pack
Item #: 901-D6558B2
Item #: 901-D6558B2
Pricing details
Manage accounts: High quality job work order forms record costs and make invoices easy
Get the details: Extra-large work description area, including 13 lines for detailed write-ups
Track customer acceptance: Signature line for customer authorization prevents disputes
$356.99
1 pack
($0.71/EACH)
Save 50%
$177.99
8 pack
($0.36/EACH)
Customize
Earn 356 points
Free delivery
Custom Small Lined Invoices, 4 Parts, 1 Color Printing, 8 1/2 x 7, 250/Pack
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Custom Small Lined Invoices, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D108T4
Item #: 901-D108T4
Pricing details
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
$298.99
1 pack
($1.20/EACH)
Save 63%
$111.99
8 pack
($0.45/EACH)
Customize
Earn 298 points
Free delivery
Custom Bills of Lading - Small Carbonless, 3 Parts, 1 Color Printing, 8 1/2 x 7, 250/Pack
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Custom Bills of Lading - Small Carbonless, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D72003
Item #: 901-D72003
Pricing details
Special section to identify hazardous materials
Meets regulations. These forms meet all D.O.T. and I.C.C. regulations
Get the details: 8 description lines
$234.99
1 pack
($0.94/EACH)
Save 59%
$95.99
16 pack
($0.38/EACH)
Customize
Earn 234 points
Free delivery
Delforms® One-Write General Expense Check Refills; 250 per Pack, without Duplicates
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Delforms® One-Write General Expense Check Refills; 250 per Pack, without Duplicates
Item #: 901-111011
Item #: 901-111011
Pricing details
No messy carbon paper
Eliminates copy errors and saves time
Security features include erasure protection; micro-print signature line; chemical-sensitive paper; padlock icon and warning; security screen and warning box
$98.99
1 pack
($0.40/EACH)
$59.99
4+ pack
($0.24/EACH)
Customize
Earn 98 points
Free delivery
Adams Write N Stick Receipt Book, 2.75 x 5.38, White, 50/Pack (ABF DC2501WS)Adams Write N Stick Receipt Book, 2.75 x 5.38, White, 50/Pack (ABF DC2501WS)
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Adams Write 'N Stick Receipt Book, 2.75" x 5.38", White, 50/Pack (ABF DC2501WS)
Item #: 901-DC2501WS
(520)
Item #: 901-DC2501WS
Money and rent receipt book is consecutively numbered for easy organization
Size: 2.75"L x 5.38"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$8.99
1-2 each
Save 6%
$8.49
3+ each
Add to cart
Earn 8 points
Free 1-2 day delivery w/ $25+
Price drop
Dell Micro Form Factor All-in-One Stand Adjustable Monitor/Desktop, Up to 27 Monitor, Silver (DELL-MFS22)
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Dell Micro Form Factor All-in-One Stand Adjustable Monitor/Desktop, Up to 27" Monitor, Silver (DELL-MFS22)
Item #: 901-IM104ZC23
Item #: 901-IM104ZC23
Raise your monitor to a comfortable viewing height with this monitor stand
Supports up to 27" monitors for versatile use
Comes in silver
$109.99
Per each
Add to cart
Earn 109 points
Free delivery
TOPS Petty Cash Receipt Book, 2.75L x 5W, 200/Pack (TOP4109)TOPS Petty Cash Receipt Book, 2.75L x 5W, 200/Pack (TOP4109)
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TOPS Petty Cash Receipt Book, 2.75"L x 5"W, 200/Pack (TOP4109)
Item #: 901-4109
(7)
Item #: 901-4109
Petty cash book is designed for cash payouts
Size: 2.75"L x 5"W
Features a carbonless 2-part format that allows you to keep a permanent copy for your records
$24.99
1-4 each
Save 8%
$22.99
5+ each
Add to cart
Earn 24 points
Free delivery w/ $25+
Adams 3-Part Carbonless Purchase Order, 10.69L x 8.38W, 50 Sets/Book (TC8131)Adams 3-Part Carbonless Purchase Order, 10.69L x 8.38W, 50 Sets/Book (TC8131)
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Adams 3-Part Carbonless Purchase Order, 10.69"L x 8.38"W, 50 Sets/Book (TC8131)
Item #: 901-301648
(15)
Item #: 901-301648
Keep a bound copy for a permanent record using this purchase order book
Size: 10.69"L x 8.38"W
Features a carbonless 3-part format that allows you to keep a permanent copy for your records
$29.99
Per each
Add to cart
Earn 29 points
Free delivery
Purchase Order Book, 2 Parts, Carbonless, 5 1/2 x 7 7/8
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Purchase Order Book, 2 Parts, Carbonless, 5 1/2" x 7 7/8"
Item #: 901-2675659
(1)
Item #: 901-2675659
In duplicate and triplicate formats
White original, canary duplicate, pink triplicate
50 sets per book
$23.99
Per each
Add to cart
Earn 23 points
Free delivery w/ $25+
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
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Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
(25)
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
See details
Free delivery w/ $25+
Custom Booked Deposit Tickets, Classic Design, 2-Part, Black ink only, 8-7/8 x 3-3/8, 4 Books/Pack, 150 Tickets/Pack
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Custom Booked Deposit Tickets, Classic Design, 2-Part, Black ink only, 8-7/8" x 3-3/8", 4 Books/Pack, 150 Tickets/Pack
Item #: 901-1000182
(15)
Item #: 901-1000182
Pricing details
Convenient! Booked format, printed with your name, address and account number
Industry-best deposit tickets meet or exceed all bank standards for MICR processing, with guaranteed compatibility on today's latest technologies
Accommodate 17 check entries on front, 34 check entries on the back of ply 1
$55.99
1 pack
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$33.99
16 pack
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Delforms® One-Write Payroll General Expense Check Refills; 250 with Duplicates
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Delforms® One-Write Payroll General Expense Check Refills; 250 with Duplicates
Item #: 901-131012
Item #: 901-131012
Pricing details
Keep track of all your payroll and general expenses in one place – in one step!
No messy carbon paper
Eliminates copy errors and saves time
$159.99
1 pack
($0.64/EACH)
$99.99
4+ pack
($0.40/EACH)
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Earn 159 points
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