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* Any changes made by the customer after proof has been sent, other than what was originally
written on the order form, will result in a $10.00 additional charge.
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Acknowledgement of Receipt of Privacy Practices
1000
60 # white offset, 2 sided, black ink, 8 1/2" x 11"
Product ID: MD-754
Price: $ 92.95
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Absence/Excuse Form
20 pads, 1000 sheets
20lb. white bond, 1 side, black ink,
5 1/2" x 4 1/4", padded in 50s
Product ID: MD-716
Price: $ 69.95
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Appointment Schedule
50070# offset, 2 sided, black ink, 8 1/2"x 14"
Product ID: MD-738
Price: $ 73.95
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BLACK & WHITE
BUSINESS/APPOINTMENT CARDS
Business/Appointment Cards- 1,000 Price: $107.95
Brite White or Off White, black ink, 2 sides, 3 1/2" X 2"
Product ID: OD-701-2
Business/Appointment Cards- 500 Price: $ 151.95
Classic Linen, 1 standard color, 2 sides, 3 1/2" x 2"
Product ID: OD-701C-2
Business/Appointment Cards- 1000 Price: $71.95
Brite White or Off White, black ink, 1 side, 3 1/2" X 2"
Product ID: OD-701
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Certificate to Return to Work/School
10 pads, 500 sheets
20 # white bond, padded in 50's, black ink, 5 1/2" x 4 1/4"
Product ID: MD-761
Price: $ 51.95
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FULL COLOR
BUSINESS/APPOINTMENT CARDS
Full Color Business/Appointment Cards -1,000 Price: $117.95
16 pt glossy or 100# uncoated, 4 over 4, UV coated on front,
Printed 2 sides, 3 1/2" X 2"
Product ID#: OD-701-2FC
Full Color Business/Appointment Cards -2,000 Price: $163.95
16 pt glossy or 100# uncoated, 4 over 4, UV coated on front,
Printed 2 sides, 3 1/2" X 2"
Product ID#: OD-701-2FC
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Claim Form-Laser
1,000
20 lb. white bond, 2 sides, red & black inks
(Laser Claim Form Ships in 24 hours)
Price: $ 63.00
500- $49.00, 2,000- $99.00
Claim Form
500
2/part carbonless, 2 sides, 2 colors
Product ID: MD-CMS-1500-2P
Price: $ 128.00
Call for pricing for personalized printing on HCFA form
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CUSTOM IMPRINTED CLAIM FORMS
Custom Claim Form- Laser- 1,000 Price: $161.95
20 lb. white bond, 2 sides, red & black inks
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Daily Appointment Log
per 1000
60 lb. offset, 2 sides, 15 min. increments, holes punched
Product ID: MD-712
Price: $ 92.95
Daily Appointment Log
per 1000
white 110 lb index, 2 sides, 15 min. increments, holes punched
Product ID: MD-712-1X
Price: $ 98.95
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Dental Chart/File
500
110 white index
Printed 2 sides
Black ink
17”X 11” scored and folded to 8 1/2” x 11”
Product ID: MD-707-2
Price: $ 257.95
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Dental Treatment Cards
MD-705-2
80 lb. Text, 2/sided, Black ink
8 1/2"x 11"
250
$59.95
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Envelopes
#10 regular 24 lb. white wove,
Black ink
Free logo!
Product ID: MD-704
Price:1000 $139.95
Envelopes - Window
#10 regular 24 lb. white wove,
Black
Free logo!
Product ID: MD-704-W
Price: 1000 $149.95
Envelope
500
#10 classic laid or linen. , 1 side, 1 color
Product ID: MD-722
Price: $253.95
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Product ID: MD-703
Price: $ 52.95
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Gift Certificates
50
Tan with black ink, matching #10 envelope,
8 1/2" X 3 5/8"
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Letterhead
500
White Strathmore bond, black ink, 8 1/2" x 11", ca
Product ID: MD-710
Price: $ 83.95
Letterhead
1,000
60 lb. grey, 1 side, burgundy ink, 8 1/2" x 11"
Product ID: MD-726
Price: $ 96.95
Letterhead
500
Classic Laid Chatham Tan, 1 side, 2 colors, 8 1/2" x 11"
Product ID: MD-723
Price: $ 88.95
Letterhead
500
24 lb. bright white synergy bond, 25% cotton, light cockle finish,
1 side, black ink, 8 1/2" x 11"
Product ID: MD-742
Price: $ 80.95
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Mailing Label
500
Size 3" x 4" white litho or white gloss, available with perf between each label for additional $35.00. Choose ink color: black, red, yellow, blue, or green. Laser and computer labels available....call for information.
Product ID: MD-756
Price: $ 97.95
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Custom Memos
MD-806
8 ½” X 5 ½”
20# White Bond
50 sheets per pad
5 pads $63.95
10 pads $79.95
20 pads $109.95
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Medication List
500
20# white bond, printed 1 side, 8 1/2" X 11"
Product ID: MD-801
Price: $ 73.95
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Name Badges
$14.95
(3" X 1")
Pin-back
Military Clutch and Swivel Clip available ($1.50 additional charge)
Magnetic-back available ($3.75 additional charge)
Full color and logo available. Call for pricing.
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Patient Progress Notes
1,000
20# white bond, 2 sided, black ink, 8 1/2" x 11"
Product ID: MD-715
Price: $83.95
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Patient Receipts
20 pads, 1,000 sheets
20# white bond, 1 sided, 50 per pad, black ink, 5 1/2 x 8 1/2
Product ID: MD-717
Price: $ 83.95
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Patient Referral Form
1,000
2 part carbonless, black ink, 5 1/2" x 8 1/2"
Product ID: MD-709-2
Price: $ 97.95
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Patient Register/ Sign-in Form
1,000
20 lb. white bond, 1 side, black ink, 8 1/2" x 14"
Product ID: MD-732
Price: $ 69.95
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Patient Registration
1,000
80 # white offset, 1 sided, green ink, 8 1/2" x 11
Product ID: MD-709
Price: $ 102.95
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Pharmaceutical Rx Pads
10 pads, 500 sheets
20 lb. white bond, 50 sheets per pad, 5 1/2" x 4 1/4"
Product ID: MD-702
Price: $ 69.95
Pharmaceutical Rx
500
2 part carbonless, black ink, 5 1/2" x 4 1/4", cal
Product ID: MD-702-2
Price: $92.95
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Tamper Resistant Pharmaceutical Rx
50 sheets per pad, 10 pads
Tamper resistant bond, black ink, 50 per pad,
5 1/2” x 4 1/4”
Product ID: MD-702-SG
Price: $69.95
2 Part Tamper Resistant Pharmaceutical Rx
500
2 part carbonless tamper resistant bond, black ink,
5 1/2” x 4 1/4”
Product ID: MD-702-2-SG
Price: $105.95
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| Recall Cards
2,500
White 67# Vellum, black ink, 5 1/2" x 3 1/2"
Product ID: MD-706
Price: $ 106.95
Recall Cards
2,500
Blue 65# Cover, black ink, 5 1/2" x 3 1/2"
Product ID: MD-706-B
Price: $ 138.95
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Full Color Recall Cards
Product ID: MD-706-2FC
1000
6" X 4"
Price: $157.95 plus $25.00 for initial
personalization
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Record Release Pad
10 pads, 500 sheets
20 lb. white bond, 1 side, 50 per pad, black ink
Product ID: MD-720
Price: $53.95
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Self-Inking Stamp, Small 9/16”x 1-1/2”
Each Black, Red, or Blue ink, 4 lines of type,
Product ID: OD-KS-S
Price: $ 26.54
Self-Inking Stamp, Medium 7/8”x 2-3/8”
Each Black, Red, or Blue ink, 4 lines of type,
Product ID: OD-KS-S
Price: $ 29.72
Self-Inking Stamp, Large 1”x 2-1/2”
Each Black, Red, or Blue ink, 4 lines of type,
Product ID: OD-KS-S
Price: $32.88
Self-Inking Stamp, Jumbo 1-1/2”x 3”
Each Black, Red, or Blue ink, 4 lines of type,
Product ID: OD-KS-S
Price: $42.38
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Sign-in Sheets
10 pads, 500 sheets
20 lb. white bond, 1 side, 50 per pad, 8 1/2" x 11
Product ID: MD-724
Price: $83.95
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| Super Bill
2000
2 Part Carbonless, 1 sided, black ink, consecutively numbered
8 1/2" x 5 1/2"
Product ID: MD-744-2PN
Price: $ 243.95
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