Page 39 of replacement superbill forms
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Custom Product Invoices, Laser, 3 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D13343G3
Time saver: Preprinted columns save time, ensure greater accuracy
Consecutive numbering available
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Classic Lined Statements, Carbonless, 3 Parts, 1 Color Printing, 6 3/8" x 8 1/2", 250/Pack
Item #: 901-D4963
Simple statement perfect for any business
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Imprint Color: Black
Custom Purchase Orders, Booked, 3 Parts, 1 Color Printing, 6 3/8" x 8 1/2", 250/Pack (5 Books of 50)
Item #: 901-D87T3
Get the details: Includes 12 lines for procurement items with plenty of space for terms, requisition numbers, stock & shipping information
Track customer acceptance: Signature line for customer authorization prevents disputes
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Insurance Authorization Slips, 5-1/2" x 4", 100 Sheets per Pad
Item #: 901-QFN131491R
For insurance authorizations
5-1/2" W x 4" L
White 20# text stock; printed in black ink
Custom Privacy Notices Fax Cover Slips, 8-1/2" x 11", 100 Sheets per Pad
Item #: 901-QFN10XXX1R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
Medical Arts Press® Growth Chart, Girls 2-20 Years
Item #: 901-20227
200 per pack
Size: 8 1/2" x 11"
Binding type: Padded
$32.89
1-2 pack
($0.16/PAD)
Save 20%
$25.99
3+ pack
($0.13/PAD)
Custom Bills of Lading, Carbon, Small Format, 3 Parts, 1 Color Printing, 8 1/2" x 7", 500/Pack
Item #: 901-DR12003
Get the details: Special section to identify hazardous materials
Promote your business: Personalization includes your imprint with choice of typeface
Imprint Color: Black
Custom Multi-Purpose Sales Books, Classic Design, Large Format, 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D553
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 17 lines enable even the biggest orders to fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record
Custom Product Invoices, Laser, 3 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D13055G3
Time saver: Preprinted columns save time, ensure greater accuracy
Consecutive numbering available
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Packing List, 4 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 250/Pack
Item #: 901-DRF66004
Efficient! Capture all required shipping information
Easy quality control: Identify all employees packing and checking
Get the details: 12 description lines
Custom Classic, Horizontal Sales Books 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D543
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 10 lines enable even the biggest orders to fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record; 50 sets per book
Custom Sales Book, Classic Design, Med Format, Your Custom Wording, 3 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D2509SW3C
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 12 lines provide ample room so orders can fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record; 50 sets per book
Custom Purchase Orders, Classic Design, Booked, 3 Parts, 1 Color Printing, 6 3/8" x 8 1/2", 250/Pack
Item #: 901-D873
Get the details: Includes 12 lines for procurement items with plenty of space for terms, requisition numbers, stock & shipping information
Track customer acceptance: Signature line for customer authorization prevents disputes
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Retail Sales Book, Classic Design, NO CASH RETURNS, 2 Parts, 1 Color Printing, 3 3/8" x 5 1/8", 500/Pack
Item #: 901-D50SW2B
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 Statements, Laser, 1 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D13437G1
Handy aging section! Statement includes an account aging section at bottom for current and past due amounts
Consecutive numbering available
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Return to Work Recommendation Slips, 8-1/2" x 11", 100 Sheets per Pad
Item #: 901-QFN105641R
Restriction information for patients to share with work or school
8-1/2" W x 11" L
White 20# text stock; printed in black ink
Custom Retail Sales Book, Classic Design with Your Choice of Wording, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D55SW2C
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 17 lines enable even the biggest orders to fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record
Custom Retail Sales Book, Classic Design, Med Format, Your Custom Wording, 2 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D2509SW2C
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 12 lines provide ample room so orders can fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record; 50 sets per book
Custom Packing List, 2 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 250/Pack
Item #: 901-DRF66002
Efficient! Capture all required shipping information
Easy quality control: Identify all employees packing and checking
Get the details: 12 description lines
Custom Retail Sales Book, Classic Design, Medium Format, ALL SALES FINAL, 2 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D2509SW2A
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 12 lines provide ample room so orders can fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record; 50 sets per book
Custom Carbonless Veterinarian Boarding Agreement, 5-1/2" x 8-1/2", 100 Sets per Pad
Item #: 901-QFW1303501
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
Custom 2-Sided Progress Notes, 8-1/2" x 11", 24# White Text Stock, 250 Sheets per Pack
Item #: 901-QFN106411R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
Custom Delivery Receipts Sets, 2 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D50522
Time saver: Preprinted columns save time, ensure greater accuracy
Track customer acceptance: Signature line for customer authorization prevents disputes
Consecutively numbered for easy recordkeeping
Custom Duplicate Checks, Compact Size, Green Marble Design, 2 Ply/Duplicate, 1 Color Printing, 6" x 2.75", 80/Pack
Item #: 901-51200N2
Black ink imprint
Part 1: 24# Check StockPart 2: 22# White Stock
Check Size: 6" x 2-3/4"
