Page 28 of replacement superbill forms
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Delforms® One-Write Payroll General Expense Check Refills; 250 with Duplicates
Item #: 901-131012
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
Custom Work Orders, Job, Carbon, Small Format 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D2583
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
Avery 4.75" Auto Park Tags, Manila, 500/Box (18670)
Item #: 901-903184
Sequentially numbered 1 to 500 in duplicate on top and bottom coupon.
"Retain this check" is printed in red on bottom only.
Reinforced patch with strong twine.
$59.99
Per box
Custom Carbonless 2-Part Equine Superbills, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFN103481R
Use to provide costs and services to patients
8-1/2" W x 11" L
2-part, white/canary, carbonless; printed in black ink
Boorum & Pease Record Book, 7 5/8" x 12 1/2", Green, 150 Sheets/Book (67 1/8-300-R)
Item #: 901-6718300R
Timeless book features acid-free paper, permanent, waterproof ink, smyth-sewn binding, numbered pages and a Table of Contents page.
Brand: Boorum & Pease
Manufacturer: Esselte Pendaflex Corp.
$86.99
1-2 each
Save 8%
$79.99
3+ each
Blueline AccountPro Record Book, 7.69" x 10.25", Black, 150 Sheets/Book (A7963C.01)
Item #: 901-A7963CBK
Book is perfect for accurate record and account keeping
Black hard cover with twin-wire binding
Includes 300 numbered pages with green and brown ruling
$47.69
1-5 each
Save 18%
$38.99
6+ each
Rediform Emerald Series Record Book, 6.25"W x 9.63"H, Green, 100 Sheets/Book (56521)
Item #: 901-388158
Green canvas hardcover and silk screened title
Includes 200 numbered pages with blue ruling and red margin
Overall dimensions: 6.25"W x 9.63"H
$36.09
Per each
ComplyRight Payroll Status Change Notice, Pack of 50 (A2172)
Item #: 901-2548976
Provides written record of what is changing about status and why
Attorney-developed to ensure 100% compliance
Features ComplyRight™ tips for optimal, compliant use
$64.99
Per each
Rediform 2-Part Carbonless Purchase Requisitions, 8.5"L x 11"W, 50 Sets/Book (RED1L146)
Item #: 901-2675658
Purchase order book.
17 lines
Brand: Rediform
$36.09
Per each
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 Certificate of Professional Care Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131111R
For certification of care
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Quill Brand® 14-7/8 "x 11" Continuous Form 1/2" Blue Bar Paper, 20 lbs., 2700 Sheets/Carton (QU710604)
Item #: 901-710604
1/2" blue bar Bond paper for continuous form printing
Paper weight: 20 lbs.
Size 14-7/8x11"
$196.39
Per carton
($0.07/EACH)
Custom Treatment Notes, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFN105601R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
Custom 1-Sided Pegboard Account Cards, 5-1/2" x 8-1/2", 110# Index Stock, 500 Cards per Pack
Item #: 901-QFN101351R
For use with a pegboard system
5-1/2" W x 8-1/2" L
White 80# cover stock, printed in black ink
Custom X-Ray Release Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN131181R
For use in patient charts
5-1/2" W x 4" L
White 20# text stock; printed in black ink
Custom Progress Notes, 8-1/2" x 11", 24# White Stock, 250 Sheets per Pack
Item #: 901-QFW2175701
For use in patient charts and files
8-1/2" W x 11" L
White 24# ledger stock, pre-printed in black ink
Custom Snap Apart Sales Slips, 3 part, 8-1/2" x 5-2/3", 500 Sheets
Item #: 901-TGSCC6523
3-part carbonless
Sales slip measures 8-1/2"Hx5-2/3"W
500 loose sheets
Medical Arts Press Dental Initial Exam Chart; Rainbow FormFamily (10007)
Item #: 901-10007
Form Printed on 1 Side
Anatomical chart shows facial, occlusal, and lingual tooth and root surfaces
Size: 8-1/2x11"
$12.29
Per pack
($0.12/EACH)
Custom Classic Design, Large Format Shipping Invoices,2 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D1062
Generous description area: 22 description lines
Convenient snapset format
Create clean records: Carbonless forms stay tightly aligned for clear, clean copies
Custom Carbonless Veterinarian Discharge Instructions, 5-1/2" x 8-1/2", 100 Sets per Pad
Item #: 901-QFW1609001
Self-duplicating; everything is printed on original and duplicate
5-1/2" W x 8-1/2" L
White self-duplicating carbonless stock; pre-printed in black ink
Wilson Jones Minute Record Book, 9.3"W x 11.6"H x 1.7"D, Red (W0396-11)
Item #: 901-507995
Red hand-bound imitation leather cover with gold-tooled spines
Overall dimensions: 9.3"W x 11.6"H x 1.7"D
Professional minute book protects confidential information and maintains organization of records
$409.99
1-2 each
Save 9%
$370.99
3+ each
Custom Multi-Purpose Sales Books, Colors Design, Pocket Size, 2 Parts, 1 Color Printing, 3 3/8" x 5 1/8", 500/Pack
Item #: 901-D50T2
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 9 lines provide ample room so orders can fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record
Custom Auto Parts Sales Order - Small with Side-Stub 3 Parts, 1 Color Printing, 8 1/2" x 5 2/3",500/Pack
Item #: 901-D6573
Handy: Special columns for list and net prices
These forms come with the option to have consecutive numbering printed on them
Imprint Color: Blue
Custom Work Orders, Carbonless, Small Format 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D2112
Custom printed business forms, with time-saving features & expert personalization
16 lines for materials, plus space for labor & other costs
Signature line for customer authorization prevents disputes