UB-04 Hospital Claim Form 1-Part Continuous (2,500/case) Printed in OCR red "dropout" ink; 20# Environmental Paper Alliance (EPA) Recycled Paper (White); 2,500/case
2 Part confidentially sign in forms is approved and required by the HIPAA, Every single patient who comes in to the dr. office will sign on the next line removable...
2 Part confidentially sign in forms is approved and required by the HIPAA, Every single patient who comes in to the dr. office will sign on the next line removable...
2 Part confidentially sign in forms is approved and required by the HIPAA, Every single patient who comes in to the dr. office will sign on the next line removable...
Green color carbon-less 3 part sign in forms is required by the HIPAA, Every single patient who comes in to the doctor (medical) office will sign on the next line...
Blue color carbon-less 2 part sign in forms is required by the HIPAA, Every single patient who comes in to the doctor (medical) office will sign on the next line...
Pack of 25 Sets Patients Sign in Sheets (Purple) Confidentiality and privacy are of key importance in professional medical offices, and our Next Day Labels Patient sign-in sheets are the...
Burgundy color carbon-less 3 part sign in forms is required by the HIPAA, Every single patient who comes in to the doctor (medical) office will sign on the next line...