Confidentially sign in your patients. Forms limit access to personal information as required by HIPAA. Patient signs in waits to be called by name or number. Office staff removed numbered label strip with patient name and adheres it to patient chart to help improve record keeping. Once label strips have been removed, the patient information is now protected behind special backing paper. The sign-in form also provides confidential daily patient log. Forms numbered 1 - 23. Form Size: 8 1/2 x 11 5/8; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.
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Smudgeproof inks for permanent record keeping. Slotted holes allow insertion and removal of sheets without disassembling binder. Sheet Size: 11" x 17"; Form Type: Accounting; Format: Loose Sheet; Layout: Double-Page Form; Sheet Ruled Both Sides Different.
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Incorporates security features recommended by the National Check Fraud Center. Compatible with most money management software programs. Security features include: Check-21 compliancy, "VOID" pantograph on the front and back, erasure-resistant background, security warning, anti-splice backer, security features listing, watermark, check verification number, patterned background and microtext print. Also Features heat-sensitive ink, and a two-tone erasure resistant background. Size: 8 1/2 x 11; Paper Color(s): Blue/Green Prismatic; Paper Weight: 24 lb; Sheets Per Unit: 500.
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Portable storage box with clipboard for an easy on-the-go work surface. Ample interior space to hold important documents and forms. Low-profile metal clip with corner grips. Smooth writing surface. Snap closure. Plastic material is impact- and water-resistant. Holds Paper Size: 8 1/2 x 11; Clipboard Actual Size: 9 3/4 x 14 x 1 1/2; Clipboard Material: Plastic; Clip Capacity: 1/2".
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Shatter-resistant plastic construction ensures durable performance in the most demanding environments. Low-profile safety clip eliminates the possibility of accidental openings, while making the clipboard easier to store in briefcases, file cabinets, laptop bags and more. SAE and metric rulers on either edge of the clipboard provide added convenience and improved functionality. Holds Paper Size: 5 x 8; Clipboard Actual Size: 6w x 9h; Clipboard Material: Plastic; Clip Capacity: 1/2".
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Use to create recognition of achievements. Can be used with inkjet or laser printers, copiers, quick printing, typewriters and calligraphy. For use with Geographics document covers. Compatible with all major software programs. Each has parchment finish. Theme: Serpentine; Shape: Rectangular; Width: 8 1/2"; Height: 11".
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Premium grade paper, carbonless two-part sets(white, canary paper sequence). Consecutively numbered within each book. Spiral bound. This product was made from wood that came from a certified managed forest. Form Size: 7 1/8 x 2 3/4; Forms Per Page: 4; Form Quantity: 200; Sheet Size: 2 3/4 x 7 1/8.
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Premium grade paper, 3-part sets printed in 2 colors.Consecutive page numbers printed in red. Contains entries for customer information, order number, terms, date, shipping information and salesperson. Columns provided to enter quantity, description, price and amount. This product was made from wood that came from a certified managed forest. 50 sets per book. Form Size: 7 15/16 x 5 9/16; Forms Per Page: 1; Number of Entry Lines: 18; Form Quantity: 50.
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Premium grade paper, 3-part sets (white, canary, pink paper sequence). Consecutive page numbers printed in red. Sheet contains areas for customer information, order number, terms, date, shipping information and salesperson. Columns provided to enter quantity, description, price and amount. Form Size: 3 1/4 x 7 1/8; Form Quantity: 50; Principal Heading(s): Quantity; Description; Amount; Layout: One Form per Page.
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Premium grade paper, two-part sets (white, canary paper sequence). Consecutive numbers printed in red. Sheet contains areas for customer information, order number, terms, date, shipping information and salesperson. Columns provided to enter quantity, description, price and amount. 50 sets per book. Form Size: 7 15/16 x 5 9/16; Forms Per Page: 1; Number of Entry Lines: 18; Form Quantity: 50.
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Give your messages the attention they deserve. Stick your messages where they will get noticed with the repositionable adhesive on the back of part one while part two remains in spiral binding for your permanent records. Carbonless. Form Size: 4 3/4 x 2 3/4; Forms Per Page: 4; Form Quantity: 200; Sheet Size: 11 x 5 1/4.
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Shatter-resistant plastic construction ensures durable performance in the most demanding environments. Low-profile safety clip eliminates the possibility of accidental openings, while making the clipboard easier to store in briefcases, file cabinets, laptop bags and more. SAE and metric rulers on either edge of the clipboard provide added convenience and improved functionality. Holds Paper Size: 8 1/2 x 11; Clipboard Actual Size: 9w x 12 1/2h; Clipboard Material: Plastic; Clip Capacity: 1/2".
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Heavy-duty, weather-resistant aluminum clipboard features a smooth writing surface with rounded corners and edges. Low-profile safety clip eliminates the possibility of accidental openings, while making the clipboard easier to store in briefcases, file cabinets, laptop bags and more. Sized to accommodate standard, letter-sized documents. Holds Paper Size: 8 x 11 1/2; Clipboard Actual Size: 9w x 12 1/2h; Clipboard Material: Aluminum; Clip Capacity: 1/2".
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Portable storage box with clipboard for an easy on-the-go work surface. Ample interior space to hold important documents and forms. Low-profile metal clip with corner grips. Smooth writing surface. Snap closure. Plastic material is impact- and water-resistant. Holds Paper Size: 8 1/2 x 11; Clipboard Actual Size: 9 3/8 x 13 1/2 x 1 3/8; Clipboard Material: Plastic; Clip Capacity: 1/2".
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Smooth and bright for ultimate print contrast. Ideal for presentations, covers, cards, brochures and posters. Laser and inkjet printer guaranteed. Acid-free for archival quality. Size: 8 1/2 x 11; Paper Color(s): Bright White; Paper Weight: 65 lb / 176 gsm; Sheets Per Unit: 250.
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Premium grade paper, two-part sets (white, canary paper sequence). Consecutive numbers printed in red. Sheet contains areas for customer information, order number, terms, date, shipping information and salesperson. Columns provided to enter quantity, description, price and amount. 50 sets per book. Form Size: 6 11/16 x 4 3/16; Forms Per Page: 1; Number of Entry Lines: 12; Form Quantity: 50.
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The perfect dictionary for quick, on-the-go language reference. 40,000 entries. Clear, concise definitions. Pronunciations and variant spellings. Brief guide to punctuation. 416 pages, paperback. Reference Book Type: Dictionary; Subjects: Language Arts; Age Recommendation: Ages 12 and Up; Language(s): English.
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Use to create recognition of achievements. Can be used with inkjet or laser printers, copiers, quick printing, typewriters and calligraphy. For use with Geographics document covers. Compatible with all major software programs. Each has parchment finish. Theme: Unique; Shape: Rectangular; Width: 8 1/2"; Height: 11".
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Shatter-resistant plastic construction ensures durable performance in the most demanding environments. Low-profile safety clip eliminates the possibility of accidental openings, while making the clipboard easier to store in briefcases, file cabinets, laptop bags and more. SAE and metric rulers on either edge of the clipboard provide added convenience and improved functionality. Holds Paper Size: 8 1/2 x 11; Clipboard Actual Size: 9w x 12 1/2h; Clipboard Material: Plastic; Clip Capacity: 1/2".
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Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Size: 11 x 8 1/2; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.
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To report interest income; withheld and paid any foreign tax on interest, or withheld (and did not refund) any federal income tax under the backup withholding rules. One free 1096 form with each 1099 pack. For laser printers. Form Size: 8 x 5 1/2; Forms Per Page: 2; Form Quantity: 50; Sheet Size: 8 1/2 x 11.
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Hardy hardcover notebooks have been designed with thoughtful choices and attention to detail. The unique index corners allow you to easily locate your notes. The expanding pocket stores odds and ends—a handy place to keep pens and highlighters on the go. Wirebound notebooks with a double-wire binding allow pages to stay flat for easier notetaking. Pages Per Book: 80; Book Size (W x H): 8 1/4 x 5 7/8; Ruling: College; Ledgers/Journals Type: Journal.
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Use to create recognition of achievements. Can be used with inkjet or laser printers, copiers, quick printing, typewriters and calligraphy. For use with Geographics document covers. Compatible with all major software programs. Each has parchment finish. Theme: Flourish; Shape: Rectangular; Width: 8 1/2"; Height: 11".
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For daily manual time record keeping. Columns for job number, kind of work, time begun, time finished and total hours. Room for employee name, department, rate per hour, productive hours and non-productive hours. Two pads per pack. Form Size: 8 1/2 x 5 1/2; Forms Per Page: 1; Form Quantity: 100; Principal Heading(s): Daily Time Sheet.
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Perfect for setting up computer spreadsheets. All rows and columns numbered for accuracy and fast referencing. Shaded alternate thousands columns prevent “decimal slip.” Every fifth line ruled in brown for better focusing. Punched for storage in ring binder. Perforated heading tears off when folding to fit 11 x 8 1/2 binder. Sheet Size: 11" x 8 1/2"; Form Type: Accounting; Format: 50-Sheet Pad; Layout: Sheet Ruled Both Sides Alike; Single-Page Form.
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Premium grade paper, two-part sets (white, canary paper sequence). Consecutive numbers printed in red. Sheet contains areas for customer information, order number, terms, date, shipping information and salesperson. Columns provided to enter quantity, description, price and amount. 50 sets per book. Form Size: 3 3/8 x 6 11/16; Forms Per Page: 1; Number of Entry Lines: 12; Form Quantity: 50.
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A sound choice! Manufactured from recycled materials. Features handy inch/metric ruled edges. Low profile spring clip with rubber corner grips. Retractable hanging hole. Holds Paper Size: 6 x 9; Clipboard Actual Size: 6 1/10w x 1 3/4d x 9 1/2h; Clipboard Material: Plastic; Clip Capacity: 1/2".
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A detailed annual account of rental property income and expenses. Keeps records for one to four properties with one to sixty units. Undated for use during any annual time period. Includes instructions and eight rental agreements. Receipt storage envelope bound-in. Wire bound to lie flat. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 60; Principal Heading(s): Monthly Rental Income Record; Tenant Record.
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Durable construction and a brushed aluminum look make this clipboard an enduring classic. Low-profile safety clip eliminates the possibility of accidental openings, while making the clipboard easier to store in briefcases, file cabinets, laptop bags and more. Holds Paper Size: 11 x 8 1/2; Clipboard Actual Size: 9w x 12h; Clipboard Material: Plastic; Clip Capacity: 1/2".
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Equivalent to time clock manufacturer's time cards. 143 lb. tag stock. Size: 4 x 9; Time Period: Weekly; Printing Sides: One Side; Card Quantity: 100.
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Numbered 001 to 100 for easier recordkeeping. Signature line for verification of time worked. Size: 3 1/2 x 7 1/4; Time Period: Bi-Weekly; Semi-Monthly; Weekly; Printing Sides: Two Sides; Card Quantity: 100.
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Set up for quick and easy message taking. Shaded check-off boxes. Form Size: 4 1/4 x 5 1/2; Forms Per Page: 1; Form Quantity: 50; Sheet Size: 4 1/4" x 5 1/2".
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