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Medical Arts Press Registration Form; Smile Team
Item #: 901-21784
Item #: 901-21784
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Friendly "happy teeth" design welcomes patients
Printed in 2-color on two sides on 24-lb. white bond paper
$80.29
1 pack
($0.32/EACH)
Save 7%
$74.79
2+ pack
($0.30/EACH)
Medical Arts Press® Dental Registration and History Form; Purple and Teal Design
Item #: 901-20579
Item #: 901-20579
TOPS™ Carbonless Statement Book, 2-Part, 50 Forms/Book, 3 Pads/Pack (DC5812-3)
Item #: 901-448957
Item #: 901-448957
Carbonless Statement book is a great, low-cost way to keep your customer accounts current
Dimensions: 1.2"H x 5.56"W x 8.44"L, 7.94" x 5.56" (detached form), 8.44" x 5.56" (sheet)
Color: White (primary page), canary (duplicate page), blue (ink)
$24.59
Per each
Adams® Job Invoice Form, Ruled, 8" x 11", 2-Part, White, 100 Sheets/Pack (NC2817)
Item #: 901-468769
Item #: 901-468769
Carbonless job invoice sets for service industries
Dimensions: 8.5" x 11.44" x 1.1"
White original to copy and white duplicate with blue text
$17.19
Per each
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
Item #: 901-24602229
Item #: 901-24602229
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
Adams Purchase Order Forms, 3-Part Book, 5 9/16" x 8 7/16", 50 per Pack (TC5831)
Item #: 901-196154
Item #: 901-196154
Reliable, complete record for company purchases
3-part carbonless purchase order book in white, canary, and pink paper sequence
Consecutively numbered within each book
ComplyRight Personnel Folders, 3-Part, 25 Forms/Pack (A3103)
Item #: 901-1949185TFP
Item #: 901-1949185TFP
Contains 3 folders: Hiring/Employment History, Payroll/Tax and Benefits/Insurance
Back side of organizer jacket explains what records you must keep and for how long
Organizer: 9.5" x 11.875" x 1.75"
Medical Arts Press® Single Copy Rx Blanks, Horizontal, Alter-Proof
Item #: 901-16035
Item #: 901-16035
Tamper-resistant Rx pad features 5 security features
Alter-proof blue pattern background to ensure there are no erasures or modifications of information - look and regulations may vary state to state
Void Pantograph — the word "void" will appear when photocopied
Rediform Gold Standard 2-Part Carbonless Receipts Book, 5"L x 2.75"W, 225 Forms/Book (8L829)
Item #: 901-8L829
Item #: 901-8L829
Receipt book is consecutively numbered for easy organization
Business form size: 5"L x 2.75"W
2-Part Carbonless forms for accurate record keeping
$33.99
1-3 each
Save 15%
$28.99
4+ each
TOPS™ Carbonless General Purpose Form, 2-Part, 100 Sheets/Pack (NC2581)
Item #: 901-301770
Item #: 901-301770
Two-part all-purpose forms for sales, orders, purchase orders, and credit memos
Dimensions: 8.5" x 5.67" (detached form), 8.5" x 5.12" (full sheet)
White original top copy for customers, canary duplicate copy for your records with a blue ink
ComplyRight 2026 Attendance Calendar File Folder, 25 Forms/Pack (A3050)
Item #: 901-2549040
Item #: 901-2549040
Folder provides a calendar on front for quick and easy attendance tracking
Two pockets inside of folder for storing paper records
Attorney-approved to ensure 100% compliance
Adams Write 'N Stick 2-Part Carbonless Receipts Book, 2.75" x 4.75", White, 200 Forms/Book (SC1152WS)
Item #: 901-SC1152WS
Item #: 901-SC1152WS
Receipt book is consecutively numbered for easy organization
Business-form size: 2.75"L x 4.75"W
2-Part Carbonless forms for accurate record keeping
$25.89
Per each
Custom Carbonless 2-Part Forms, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFNL2P1S1R
Design your own forms using your own artwork
8-1/2" W x 11" L
2-part, white/canary, carbonless
Medical Arts Press® Tamper-Resistant Secure Rx/2-Part Carbonless
Item #: 901-13377
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
Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Item #: 901-20743
Item #: 901-20743
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
Screens for artificial heart valves, artificial joints, heart
$73.69
Per pack
($0.29/EACH)
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Item #: 901-16010MAP
Item #: 901-16010MAP
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
Item #: 901-24602228
Item #: 901-24602228
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
ComplyRight Employee Warning Notice Forms, 50/Pack (AR0395)
Item #: 901-712137
Item #: 901-712137
Plus, this handy form includes space for employee and supervisor signatures.
50 Pack
Size: 81/2” x 11”
Rediform Gold Standard 2-Part Carbonless Receipts Book, 7"L x 2.75"W, 300 Forms/Book (8L810)
Item #: 901-8L810
Item #: 901-8L810
Money receipt book is consecutively numbered for easy organization
Business form size: 7"L x 2.75"W
2-Part Carbonless forms for accurate record keeping
$51.89
Per each
Custom Multi-Purpose Register Form, Colors Design, Large Format, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D610T2
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
Adams 3-Part Carbonless Contractor Proposal Forms, 8.5" x 11.44", 50 Sets/Book (NC3819)
Item #: 901-448251
Item #: 901-448251
Contractor's proposal forms include space for total cost and terms of payment
Form size: 11.44"L x 8.5"W
Three-part carbonless (white, canary, and pink paper sequence)
$19.59
Per each
TOPS 2-Part Money/Rent Receipt Book, 5.37" x 2.75", White, 50 Forms (46820)
Item #: 901-745091
Item #: 901-745091
5 3/8" x 2 3/4"
50 ruled forms
1 form per page
$13.99
1-6 each
Save 7%
$12.99
7+ each
Custom Multi-Purpose Register Form, Classic Design, Large Format, 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D6103
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
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
$161.79
Per carton
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