Page 5 of replacement superbill forms
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Accounting & Record Journals (105) -
Medical Forms (67) -
HR Forms (106) -
Tax Forms (118) -
Medical Charting (5) -
Desktop Computers (204) -
Business Forms (132) -
Custom Laser Middle Checks (122) -
Custom Laser Top Checks (122) -
Custom Charge Slips (118) -
Stage Equipment (101) -
Custom Service and Appointment Forms (82) -
Work Gloves (70) -
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Copy & Printer Paper (57) -
Custom General Medical (51) -
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Clipboards (19) -
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Tripp Lite (4) -
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Western Digital (3) -
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Wilson Jones (11) -
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Product ratings
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Clinical (6) -
Laser Checks (264) -
1-Color (229) -
Standard (161) -
2-Color (142) -
Premium (117) -
High Security Checks (64) -
Blank Check Stocks (36) -
Deposit Slips (31) -
Documentation (31) -
Continuous Checks (26) -
Business Checks (22) -
Billing (18) -
Agreements (14) -
Design Your Own (8) -
Prescription Pads (8) -
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Charge Slip (6) -
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Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 510/Pack (19906B)
Item #: 901-19906B
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
Medical Arts Press® Financial Agreement and Insurance Assignment; 4x5-1/2" Bond Non-Personalized
Item #: 901-33404
Item #: 901-33404
100 sheets per pad
Pad size: 4 x 5-1/2 inches
ComplyRight 2025 1099-DIV Tax Form Envelopes, 4-Part, 2-Up, Copies A, B, C and/or State, 10/Pack (610710)
Item #: 901-24507967
Item #: 901-24507967
File form 1099-DIV for each person: to whom you have paid dividends (including capital gain dividends and exempt-interest dividends) and other distributions on stock of $10 or more; for whom you have withheld and paid any foreign tax on dividends and
other distributions on stock; for whom you have withheld any federal income tax on dividends under the backup withholding rules; or to whom you have paid $600 or more as part of a liquidation. ...
other distributions on stock; for whom you have withheld any federal income tax on dividends under the backup withholding rules; or to whom you have paid $600 or more as part of a liquidation. ...
Consists of four parts: Copies A, B, C and/or State, 2-Up
Medical Arts Press Log of Hospital Visits, Pocket-sized, 1-Part
Item #: 901-20030
Item #: 901-20030
Updated with new 2010 consult codes and helpful chart on inside front cover
Make a check mark or write in the level of code for each patient visit
When patient is discharged, detach and give to billing - it's virtually foolproof
Quill Brand® Special-Size 3 Part Carbonless Forms, 9-1/2x5-1/2", 1,000/CT (9353)
Item #: 901-710837
Item #: 901-710837
Use Quill Brand special-size multi-part carbonless forms when you need multiple copies of the same form
Size: 9-1/2x5-1/2"; 8-1/2x5-1/2" without the carrier strips
3-part forms: white top sheet, canary-colored second sheet and pink third sheet
Medical Arts Press Progress Notes; Standard 2-Hole Punch (20585RL)
Item #: 901-20585NP
Item #: 901-20585NP
60 lb. stock
For custom punch order item # 20585
250 per package
Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns, 50 Sheets/Pad, 10 Pads/Pack (95141)
Item #: 901-745804
Item #: 901-745804
20-lb. ledger green paper
50 numbered lines, every fifth horizontal line heavily ruled as line guide
10,000,000 units per column
Staples Columnar Books, 100 Pages, Green, 2/Pack (217844ABF)
Item #: 901-217844
Item #: 901-217844
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 4 columns
Staples Columnar Books, 100 Pages, 6 Columns, Green, 2/Pack (217869)
Item #: 901-217869
Item #: 901-217869
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 6 columns
Staples 13 Columns Columnar Book, 16.31"W x 11"H, Green (217893)
Item #: 901-217893
Item #: 901-217893
Green tinted paper
Includes 50 single-format pages with 13 columns
Overall dimensions: 16.31"W x 11"H
Staples Ledger Book, Black, 150 Sheets/Book (217679)
Item #: 901-217679
Item #: 901-217679
This Ledger book provides a profession look while keeping track of all important transactions
Black cover with burgundy spine and corners
150 pages, faintly ruled with margin lines, 33 lines per page
Staples Record Book, 300 Pages, Black (18658/26510)
Item #: 901-217695
Item #: 901-217695
Record book for keeping track of tons of information
Black cover with burgundy spine and corners for elegant look
Contains 300 numbered pages, faintly ruled with margin lines; 33 lines per page
Staples® Columnar Books, 100 Pages, Green, 2/Pack (217851ABF)
Item #: 901-217851
Item #: 901-217851
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 5 columns
Staples Record Book, Black, 300 Sheets/Book (217919)
Item #: 901-217919
Item #: 901-217919
Record book for keeping track of tons of information
Black cover with burgundy spine and corners features gold-stamped title for elegant look
Contains 300 numbered pages, faintly ruled with margin lines, 40 lines per page
Quill Brand® Columnar Book, 3-Columns, 80 Pages, Blue Marble (18847/26516)
Item #: 901-217737
Item #: 901-217737
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with three columns per page, quad-ruled, 30 lines down per page
Staples Columnar Book, 50 Pages, Green (217885)
Item #: 901-217885
Item #: 901-217885
Columnar book is ideal for accounting and record keeping
Green-tinted paper with green and black lines
Includes 50 pages with 12 columns
Medical Arts Press® Contact Lens Rx Blanks; 2-Part
Item #: 901-15586
Item #: 901-15586
Conforms to all new requirements of federal Fairness to Contact Lens Consumers Act (FCLCA)
Option to include customer warning regarding need for periodic eye exams (required in some states)
Black print on white stock
Staples Record Book, 7.25" x 11.75", Black/Burgundy (ST26513)
Item #: 901-217687
Item #: 901-217687
Keep records, create lists, and write other notes with this classic-look journal
Black hardcover with a burgundy spine and corners
Contains 150 numbered, wide ruled 7.25"W x 11.75"H pages, while blue and red lines make it easy to keep writing organized on each sheet
Columnar Book, 6 Columns, 7.25" x 9.5", Blue Granite, 40 Sheets/Book (217752)
Item #: 901-217752
Item #: 901-217752
7 1/4" x 9 1/2"
80 pages per book
Quad ruled
Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)
Item #: 901-217745
Item #: 901-217745
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with four columns per page, quad-ruled
Medical Arts Press Continuation Notes (20132)
Item #: 901-20132NP
Item #: 901-20132NP
Four other colors available for setting up a color-coding system
500 per package
Size: 8-1/2x11"
Staples Dollar and Cent Accounting Journal, 144 Pages, Brown (182022ABF)
Item #: 901-182022
Item #: 901-182022
This accounting journal is designed to document your cash flow and finances
Comes with brown cover and includes pages of white paper with blue and red lines
Compact book provides 144 pages with single-entry ledger rulings
Quill Brand® 2 Columns Columnar Book, 7.25"W x 9.5"H, Gray Marble (18846/26515)
Item #: 901-217729
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
Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)
Item #: 901-217976
Item #: 901-217976
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with 12 columns per page, quad-ruled
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