Medical Forms
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Brand
Medical Form Pack Size
Medical Form Type
Price
Rating
Item # : 116719
Model # : CMS12LC1
Stay in compliance and process claims efficiently when submitting insurance claims with ComplyRight CMS-1500 Health Insurance Claim Forms.
- Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Price is $80.99
Unit of measure 1000/Carton
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Item # : 125556
Model # : CMS12LC500
Stay in compliance and process claims efficiently when submitting insurance claims with ComplyRight CMS-1500 Health Insurance Claim Forms.
- Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Price is $45.29
Unit of measure 500/Pack
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Item # : 125557
Model # : CMS12LC
Stay in compliance and process claims efficiently when submitting insurance claims with ComplyRight CMS-1500 Health Insurance Claim Forms.
- Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Price is $86.59
Unit of measure 2500/Pack
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Item # : 2678549
Model # : TAB14531
Protect personal information with these Tabbies patient sign-in label forms.
- Confidentially sign in your patients with patient sign-in label forms
- One-part patient sign-in label forms
Price is $69.69
Unit of measure 125/Pack
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Item # : 125555
Model # : CMS12LC250
Stay in compliance and process claims efficiently when submitting insurance claims with ComplyRight CMS-1500 Health Insurance Claim Forms.
- Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Price is $25.39
Unit of measure 250/Box
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Item # : 24581404
Model # : 1500LR500
- This CMS-1500 jumbo health care billing envelope helps reduce processing delays
- 500 envelopes per box
Price is $143.09
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Item # : 24617595
Model # : 074039
Meet Federal Regulations by limiting access to personal health information with our HIPAA patient compliant sign-in sheets.
- Patient Sign-In Label forms to sign in your patients confidentially
- HIPAA Compliant
Price is $56.29
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Item # : 486075
Model # : CMS1500L1V
Process patient health benefits with these Adams CMS-1500 health insurance claim forms.
- Satisfy record keeping requirements with these health insurance claim forms
- Number of parts: 1
Price is $23.89
Unit of measure 100/Pack
1-hr pickup
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Item # : 24617598
Model # : 074041
Meet Federal Regulations by limiting access to personal health information with our HIPAA patient compliant sign-in sheets.
- Patient Sign-In Label forms to sign in your patients confidentially
- HIPAA Compliant
Price is $56.29
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Item # : 953639
Model # : CMS12LC250
Meet billing requirements for Medicare part B using these ComplyRight CMS-1500 health insurance claim forms.
- Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
- This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
Price is $32.09
Unit of measure 250/Pack
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Item # : 519727
Model # : UB04LC
Complete billing tasks with these TFP UB-04 one-part hospital claim forms
- Designed for hospitals to file a medical claim with the patient's insurance carrier
- One-part health insurance forms
Price is $86.29
Unit of measure 2500/Carton
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Item # : 2408453
Model # : 50135RV
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits. Features OCR red ink for scanning.
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
- Top sensor bar for microfiche duplication, as required in some states
Price is $32.49
Unit of measure 250/Pack
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Item # : 24617597
Model # : 074043
Meet Federal Regulations by limiting access to personal health information with our HIPAA patient compliant sign-in sheets.
- Patient Sign-In Label forms to sign in your patients confidentially
- HIPAA Compliant
Price is $56.29
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Item # : 2678548
Model # : TAB14532
Give patients an easy way to check in for appointments with these Tabbies green 8.5 x 11-inch patient sign-in label forms.
- Patient sign-in label forms to sign in your patients confidentially
- Form consists of three parts: a label sheet, a carbon sheet, and a log behind it
Price is $63.89
Unit of measure 125/Pack
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Item # : 2678550
Model # : TAB14530
Protect patient information and streamline check-in with these Tabbies patient sign-in label forms.
- Confidentially sign in your patients with guest-check forms
- Business-form size: 11.63"L x 8.5"W
Price is $65.89
Unit of measure 125/Pack
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Item # : 24617599
Model # : 074042
Meet Federal Regulations by limiting access to personal health information with our HIPAA patient compliant sign-in sheets.
- Patient Bilingual Sign-In Label forms to sign in your patients confidentially
- HIPAA Compliant
Price is $56.29
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Medical Arts Press Periodontal Chart; Rainbow FormFamily (10008) is New at Staples
Item # : 607437
Model # : 10008
- 100 sheets per package
- Size: 8-1/2" x 11"
Price is $21.59
Unit of measure 100/Pack
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Item # : 398021
Model # : A1350
ComplyRight Patient consent and authorization form measures 8 1/2" x 11".
- Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
- Complies with HIPAA’s authorization requirements
Price is $62.89
Unit of measure 200/Pack
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Over 30
Item # : 2548932
Model # : A2311
Protect your company by putting warnings in writing with the ComplyRight Employee Warning Notice
- Includes action to be taken, as well as explains the consequences of repeat offenses
- Includes ComplyRight™ tips for optimal, compliant use
Price is $65.09
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Item # : 2548999
Model # : A2211
Get organized and protect sensitive employee health information - per HIPAA compliance requirements - with Confidential Employee Medical Records Folders.
- Lets you record basic information on the outside, confidential data on the inside
- Comes in distinctive blue color to distinguish medical records from other personnel file
Price is $144.69
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Item # : 2549009
Model # : A0309
Securely store all your employee benefits information in one folder
- Package of 25 folders
- Size: 11.75" x 9.5"
Price is $77.79
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Item # : 540751
Model # : 20029
Medical Arts Press Pocket-Sized Log of Hospital Visits - Feature helpful charts on the inside cover
- 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
Price is $42.99
Unit of measure 10/Pack
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Item # : 540752
Model # : 20030
Record of Hospital Visits
- 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
Price is $53.09
Unit of measure 10/Pack
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Medical Arts Press Dental Consent Form; Rainbow FormFamily (10039) is New at Staples
Item # : 607442
Model # : 10039
- 100 sheets per package
- Size: 8-1/2" x 11"
Price is $20.99
Unit of measure 100/Pack
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Item # : 24602226
Model # : 20241
ComplyRight Dental Claim Forms allow healthcare providers to bill a patient's insurance company for reimbursement of dental claims.
- 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
Price is $125.99
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Medical Arts Press Continuation Notes (20132) is New at Staples
Item # : 655400
Model # : 20132
- Printed both sides on 60lb. yellow offset stock
- Four other colors available for setting up a color-coding system
Price is $29.99
Unit of measure 500/Pack
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Item # : 398024
Model # : A1349
- Describes how medical information about patients may be used and disclosed
- Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and do's and don'ts
Price is $36.79
Unit of measure 100/Pack
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Item # : 24433069
Model # : A1048
- Safely store patient records, record key patient information, case details, and benefits with this orthodontic case analysis file
- Size: 9.5" x 11.75"
Price is $71.89
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Item # : 24602227
Model # : 202411
ComplyRight Dental Claim Forms allow healthcare providers to bill a patient's insurance company for reimbursement of dental claims.
- 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
Price is $62.99
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Item # : 24602228
Model # : 20241500
ComplyRight Dental Claim Forms allow healthcare providers to bill a patient's insurance company for reimbursement of dental claims.
- 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
Price is $40.99
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Over 30
Item # : 728245
Model # : A2123
Display this poster in your waiting room or reception area to inform patients of their rights and responsibilities under HIPAA.
- Communicates mandatory HIPAA rules to patients
- Laminated
Price is $33.19
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Over 30
Item # : 2549341
Model # : A0503
Set up an efficiently organized company filing system with this 25-pack of ComplyRight confidential employee medical records folders.
- Comprehensive employee record folder helps to ensure the safety of private employee data
- Number of parts: 1
Price is $110.49
Unit of measure 25/Pack Price per unit $4.42/File Folder
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Over 30
Item # : 540628
Model # : 20353
Provides a record of twice-daily care for animals needing especially close monitoring
- Tracks appetite, medications, stool, urine, and vomit twice daily over several days
- Also records walks taken
Price is $19.39
Unit of measure 250/Pack
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Item # : 309934
Model # : 50126RV
Process claims easily with these TOPS CMS-1500 red OCR ink 20-pound stock health insurance claim forms.
- Satisfy record keeping requirements with these health insurance claim forms
- Number of parts: 1
Price is $48.89
Unit of measure 500/Pack
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Item # : 24602229
Model # : 20241100
ComplyRight Dental Claim Forms allow healthcare providers to bill a patient's insurance company for reimbursement of dental claims.
- 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
Price is $15.79
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Over 30
Item # : 540655
Model # : 20368
Designed specifically for practices that offer grooming and boarding services
- Includes feeding information and a large section for handwritten notes or pressure sensitive labels
- 250 per package
Price is $16.79
Unit of measure 250/Pack
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Over 30
Item # : 24614845
Model # : UB04LC5
Complete billing tasks with these TFP UB-04 one-part hospital claim forms
- Designed for hospitals to file a medical claim with the patient's insurance carrier
- One-part health insurance forms
Price is $27.59
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Over 30
Item # : 2548965
Model # : A2191
Protect your company by putting warnings in writing with the ComplyRight Employee Warning Notice - 3-Part.
- Includes action to be taken, as well as explains the consequences of repeat offenses
- Includes ComplyRight™ tips for optimal, compliant use
Price is $104.79
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Medical Arts Press Anesthesia Record, 125/Pack (13877) is New at Staples
Item # : 639698
Model # : 13877
- Record all drugs administered to patient
- Maintain record of significant events
Price is $16.09
Unit of measure 125/Pack
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Medical Arts Press Vet Cage Card, Pet's Visit Information At-a-glance, 250/Pack (20367) is Out of stock
Item # : 540654
Model # : 20367
Indicates at-a-glance the reason for the animal s visit, including: surgery, routine, observation, hospitalized, grooming
- Each label measures 3"H x 5"W
- White paper
Price is $22.89
Unit of measure 250/Pack
Trending now
40% off of Hammermill Copy Plus 8.5" x 11" Copy Paper, 20 lbs., 92 Brightness, 5000 Sheets/Carton (105007)
Price is $47.99, Regular price was $79.99, You save 40%
Unit of measure 5000/Carton
Free delivery by Wed, May 07
1-hr pickup
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39% off of Staples Multiuse Copy Paper, 8.5" x 11", 20 lbs., 94 Brightness, 500 Sheets/Ream, 8 Reams/Carton (26860-CC)
Price is $41.99, Regular price was $68.99, You save 39%
Unit of measure 4000/Carton
Free delivery by Wed, May 07
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Price is $78.79
Unit of measure 88/Carton Price per unit $0.90/Pod
Free delivery by Wed, May 07
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Price is $20.49
Unit of measure 100/Box Price per unit $0.20/File Folder
Delivery by Wed, May 07
1-hr pickup
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Price is $60.99
Unit of measure 5000/Carton
Free delivery by Wed, May 07
1-hr pickup
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Price is $39.89
Unit of measure 12/Pack Price per unit $3.32/Roll
Free delivery by Wed, May 07
1-hr pickup
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13% off of Staples QuickStrip EasyClose Self Seal Security Tinted #10 Business Envelopes, 4 1/8" x 9 1/2", White, 500/Box (ST50312-CC)
Price is $24.99, Regular price was $28.79, You save 13%
Unit of measure 500/Box Price per unit $0.05/Envelope
Delivery by Wed, May 07
1-hr pickup
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Over 30
21% off of Sharpie Permanent Marker, Fine Tip, Black, 12/Pack (30001)
Price is $9.99, Regular price was $12.69, You save 21%
Unit of measure Dozen Price per unit $0.83/Marker
Delivery by Wed, May 07
1-hr pickup
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Over 30
Price is $36.79
Unit of measure 44/Box Price per unit $0.84/Pod
Free delivery by Wed, May 07
1-hr pickup
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Over 30
Price is $19.19
Unit of measure 6/Pack Price per unit $0.03/Sheet
Delivery by Wed, May 07
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Over 30
Price is $34.69
Unit of measure 2500/Carton
Delivery by Wed, May 07
1-hr pickup
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Over 30
Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
Delivery by Wed, May 07
1-hr pickup
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Over 30
15% off of Glad 13 Gallon Trash Bag, 8.5"x8.5", Low Density, .72 mil, White, 100 Bags/Box (CLO 78526)
Price is $16.39, Regular price was $19.39, You save 15%
Unit of measure 100/Box Price per unit $0.16/bag
Delivery by Wed, May 07
1-hr pickup
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Over 30
Price is $8.69
Unit of measure 60/Pack Price per unit $0.14/Pen
Delivery by Wed, May 07
1-hr pickup
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Over 30
Price is $19.49
Unit of measure 10/Pack Price per unit $1.95/Correction Tape
Delivery by Wed, May 07
1-hr pickup
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Over 30
13% off of Staples Notepads, 8.5" x 11.75", Wide Ruled, White, 50 Sheets/Pad, Dozen (ST57339M/57339)
Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
Delivery by Wed, May 07
1-hr pickup
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Over 30
Price is $10.19
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
Delivery by Wed, May 07
1-hr pickup
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Over 30
Price is $60.99
Unit of measure 5000/Carton
Free delivery by Wed, May 07
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Over 30
Price is $8.19
Unit of measure 4/Pack Price per unit $2.05/Correction Tape
Delivery by Wed, May 07
1-hr pickup
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Over 30
11% off of Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 250/Box (ST56673-CC)
Price is $27.99, Regular price was $31.69, You save 11%
Unit of measure 250/Box Price per unit $0.11/File Folder
Delivery by Wed, May 07
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Over 30
13% off of Staples QuickStrip EasyClose Self Seal Security Tinted #10 Business Envelopes, 4 1/8" x 9 1/2", White, 100/Box (ST50308-CC)
Price is $7.99, Regular price was $9.29, You save 13%
Unit of measure 100/Box Price per unit $0.08/Envelope
Delivery by Wed, May 07
1-hr pickup
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Over 30
Price is $75.39
Unit of measure 2500/Carton
Free delivery by Wed, May 07
1-hr pickup
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Over 30
15% off of TRU RED™ 8.5" x 11" Copy Paper, 20 lbs., 92 Brightness, 500 Sheets/Ream, 3 Reams/Carton (TR56959)
Price is $21.99, Regular price was $26.14, You save 15%
Unit of measure 1500/Carton
Delivery by Wed, May 07
1-hr pickup
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Over 30
62% off of Perk™ Choose-A-Size Paper Towels, 2-ply, 116 Sheets/Roll, 8 Rolls/Pack (PK55113)
Price is $9.29, Regular price was $24.59, You save 62%
Unit of measure 8/Pack
Delivery by Wed, May 07
1-hr pickup
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Over 30