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HCFA/CMS 1500 Forms
OMB approved, NEW 02/12 version.

Laser and pinfeed styles

SALE! 2,500 laser sheets:  

$39.95

    

 $20 off your online      order of $100 or more.

Limited time offer. Amount deducted prior to charge

$40 off your online order of $200 or more.

Limited time offer. Amount deducted prior to charge

Statement/Roundtrip Envelope


Envelope, statement and return envelope all in one! Fill in services rendered and charges; then fold, seal and mail. Pre-addressed return envelope detaches so patients can quickly send back payment. Free barcoding and custom message upon request. Item #E201.

1,000       2,000        3,000      4,000       5,000

$90.10    156.40     213.35     270.30    320.45

Please call for larger quantities.


Call (609) 576-1385