Page 27 of replacement superbill forms
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Adams 2-Part Carbonless Invoices, 8-1/2" x 7-7/16", 50 Sets/Book (NC2872-50)
Item #: 901-442798
2-part carbonless with a white, canary paper sequence
Ruled format
Space at top for company stamp
$33.99
Per pack
Custom Progress Notes, 8-1/4" x 10-3/4", 28# Ivory Stock, 250 Sheets per Pack
Item #: 901-QFW2012101
For use in patient charts and files
8-1/4" W x 10-3/4" L
Ivory 28# ledger stock, pre-printed in black ink
Quill Brand® 2 Columns Columnar Book, 7.25"W x 9.5"H, Gray Marble (18846/26515)
Item #: 901-217729
Gray marble-look cover
Includes 80 single-format pages, comes with two columns, quad-ruled
Overall dimensions: 7.25"W x 9.5"H
$21.19
Per each
Custom Veterinarian Spay/Neuter Certification Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN174801R
For patients use to certify sterilization of their pet
5-1/2" W x 4" L
White 20# text stock; printed in black ink
Boorum & Pease 38 Series Record Book, 7.63" x 9.63", Black/Red, 150 Sheets/Book (38-300-R)
Item #: 901-38300R
Book for records and daily schedules
Elegant black covers with red spine and corners
Includes 300 numbered pages
$101.99
1-4 each
Save 14%
$86.99
5+ each
Saunders A-Holder Form Holder, Aluminum (10017)
Item #: 901-AH8512
Form holder provides functionality and solid support for documents
Letter-size clipboard keeps documents in place
Made of high-quality aluminum
$30.79
Per each
Wilson Jones Foreman's Time Book, 4.25" x 6.8", Green, 36 Sheets/Book (S802)
Item #: 901-S802
Time book tracks each week and helps increase productivity, conveniently update your records even when you're out of the office
Stiff green pressboard cover
Includes 72 pages; tracks one week on two pages with 21 lines per page
$19.79
Per each
TOPS™ Bookeeping, Weekly, 8 1/2" x 11", Blue (AFR70)
Item #: 901-448259
Features blue cover, white paper and poly cover
Number of sheets: 64
Dimensions: 8 1/2"H x 11"W
$12.19
Per each
Medical Arts Press Periodontal Chart; Rainbow FormFamily (10008)
Item #: 901-10008
100 sheets per package
Size: 8-1/2" x 11"
Form Printed on 1 Side
$30.59
Per pack
($0.31/EACH)
National Brand Canvas Tuff Series Record Book, 7.63" x 12.13", Green, 250 Sheets/Book (A66500R)
Item #: 901-A66500R
Book for records and daily schedules
Canvas hardcover in green
Includes 500 numbered pages with blue ruling and margin
$75.39
Per each
Medical Arts Press® Continuation Notes, Green
Item #: 901-20133NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$69.09
Per pack
($0.14/EACH)
Cash Receipts Journal, 10 Column Journal, 10" x 8 1/2", 1 book
Item #: 901-QD126051N
Sprial bound book with 47 pages
10 blank headings
Room for 987 entries
$73.99
Per each
Custom Work Orders, Job, Carbonless, Small Format 2 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 500/Pack
Item #: 901-D65582
Custom printed business forms, with time-saving features & expert personalization
Extra-large work description area, including 13 lines for detailed write-ups
Signature line for customer authorization prevents disputes
National Texhide Series Record Book, 8.75" x 14.25", Black, 150 Sheets/Book (57131)
Item #: 901-57131Q
This record book is designed to document your important events and personal accomplishments
Black leather-like book cover with burgundy spine and corners includes pages of recycled green paper
Includes 300 numbered pages with 44 lines per page
$61.59
Per each
Staples Laser Forms Double Window Envelopes, Wove White, 500/Box (ST473949-CC)
Item #: 901-473949STP
Business envelopes are suitable for many mailing projects
Made from white 24 lb. paper for durability
These envelopes measure 4 1/5"H x 9"L in size, providing enough space for your mail
$45.69
Per box
($0.09/EACH)
Rediform Texhide Record Book, 7 7/8" x 10", Black, 152 Sheets/Book (56231)
Item #: 901-56231
Book for records and daily schedules
Black leather-like cover with burgundy spine and corners
Includes 304 numbered pages with green and brown ruling
$65.79
Per each
National Canvas Tuff Series Accounting Journal, 12.13" x 7.63", Green, 250 Sheets/Book (A66500J)
Item #: 901-A66500J
Green canvas cover
Sewn binding allows book to open flat for writing
Numbered pages
$73.49
Per each
Custom Dental Charge Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131151R
Use to provide costs and services to patients
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Carbonless Itemized Service Slips, 3-1/4" x 5", 100 Sheets per Pad
Item #: 901-QFW1304001
Self-duplicating; everything is printed on original and duplicate, including consecutive numbers
Pads are 6-5/8" W x 5" L; detached slips are 3-1/4" W x 5" L
White self-duplicating carbonless stock; pre-printed in black ink
Boorum & Pease 66 Series Record Book, 7.63" x 12.13", Blue, 250 Sheets/Book (66-500-R)
Item #: 901-66500R
Book for records and daily schedules
Blue cover with record title
Includes 500 numbered pages
$113.59
Per each
Medical Arts Press Compact Eye Care Registration and History Card (20020)
Item #: 901-20020MAP
Type of form: Registration and history card
250 per pack
Size: 5" x 8"
$18.99
1 pack
($0.08/EACH)
Save 10%
$16.99
2+ pack
($0.07/EACH)
Better Office 2-Part Carbonless Sales Order Book, 5.44" x 8.44", 50 Sets/Book, 3 Books/Pack (66103-3PK)
Item #: 901-24558001
Sales order book is a convenient way to stay organized and track all customer transactions in your business
Size: 5.44" x 8.44"
Each carbonless two-part set features a white top sheet for recording each transaction and a bottom canary yellow sheet that captures written text from the top sheet
$37.09
1-4 pack
Save 16%
$30.99
5+ pack
Custom Personalized Medical Pads, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131131R
Use for notes or messages
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Custom Record Release Authority Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN131091R
For use in patient charts
5-1/2" W x 4" L
White 20# text stock; printed in black ink
