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Sign In SheetsPatient Sign-In Sheets, HIPAA Compliant, 8-1/2″ x 11″ Carbonless Form, Blue (Pack of 125)
$69.99Each package contains 125 sheets with 25 signature lines per sheet (accomodates 3,125 total visits).
These sign-in sheets meet the privacy and confidentiality requirements of HIPAA.
The carbonless forms… -
1500 Claim Forms
CMS 1500 Claim Forms, HCFA (Version 02/12), 1 Part, Laser (Case of 2500)
$146.82Printed CMS-1500 FormNew Version 02/121-Part Form for Laser or Inkjet PrintersLetter Size: 8-1/2″ x 11″
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1500 Claim Forms
CMS 1500 Claim Forms, HCFA (Version 02/12), 1 Part, Laser (Pkg of 500)
$60.50Printed CMS-1500 Form
New Version 02/12
1-Part Form for Laser or Inkjet Printers
Letter Size: 8-1/2″ x 11″ -
Sign In Sheets
Patient-Sign In Sheets, HIPAA Compliant, 8-1/2″ x 11″ Carbonless Form, Spanish/English Bilingual, Blue (7 Packs of 125)
$474.15Each package contains 875 sheets with 25 signature lines per sheet (accommodates 21,875 total visits).These sign-in sheets meet the privacy and confidentiality requirements of HIPAA.The carbonless forms allows patients to…
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1500 Claim Forms
CMS 1500 Claim Forms, HCFA (Version 02/12), 2 Part, Continuous (Case of 1000)
$146.82Printed CMS-1500 FormNew Version 02/122-Part Continuous Form for Pin-Fed PrintersLetter Size: 8-1/2″ x 11″
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Sign In Sheets
Patient-Sign In Sheets, HIPAA Compliant, 8-1/2″ x 11″ Carbonless Form, Spanish/English Bilingual, Blue (Pack of 125)
$69.99Each package contains 125 sheets with 25 signature lines per sheet (accomodates 3,125 total visits).
These sign-in sheets meet the privacy and confidentiality requirements of HIPAA.
The carbonless forms… -
Sign In Sheets
Patient Sign-In Sheets, HIPAA Compliant, 8-1/2″ x 11″ Carbonless Form, Burgandy (Pack of 125)
$69.99Each package contains 125 sheets with 25 signature lines per sheet (accomodates 3,125 total visits).
These sign-in sheets meet the privacy and confidentiality requirements of HIPAA.
The carbonless forms… -
-
1500 Claim Forms
CMS 1500 Claim Forms, HCFA (Version 02/12), 1 Part, Continuous (Case of 2500)
$146.82Printed CMS-1500 FormNew Version 02/121-Part Continuous Form for Pin-Fed PrintersLetter Size: 8-1/2″ x 11″
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