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cms-1450 medical receipt books patient receipts checks & forms envelopes advertising concepts hospital menus & diet cards integrated products professional industry forms To view forms in greater detail visit www.healthcareprinting.net

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Page 1: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

cms-1450

medical receipt books

patient receipts

checks & forms

envelopes

advertising concepts

hospital menus & diet cards

integrated products

professional industry forms

cms-1450

medical receipt books

patient receipts

checks & forms

envelopes

advertising concepts

hospital menus & diet cards

integrated products

professional industry forms

hospital menus & diet cards

To view forms in greater detail visit www.healthcareprinting.net

Page 2: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

Table of Contents

2

Receipts, Phone Books & Medication Envelope ..........3

CMS-1500 ............................................................................4

UB-04 (CMS-1450) ..............................................................5

Hospital Menus & Diet Cards....................................... 6-7

Laser Statements ...............................................................8

Patient File Jackets & Note Pads ...................................9

Point of Purchase.............................................................10

Folders ...............................................................................11

Manual Checks.................................................................12

Deposit Ticket Books .......................................................13

Uncompromised Checks & Forms ........................... 14-15

Tags & Labels ............................................................. 16-17

Ad Concepts................................................................ 18-19

Custom Receipt Books .............................................. 20-21

Integrated Products................................................... 22-23

Your satisfaction is guaranteed. We are proud of the work we do. If we don’t do

it right, we’ll make it right.

Printed March 2009 • NMKCC113

Prices, conditions and specifi cations are subject to change without notice. Colors of products illustrated are approximations.

Stock or Custom – we can provide the printed Healthcare Solution You Need!

This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide statement forms, document jackets and more.

If a stock form is not working or available for your practice, clinic or hospital, we can offer you almost unlimited options in size and construction for designing the form you need.

Do you require stationery, checks, envelopes and business cards? Call for availability and prices.

Stock Form Available TypestylesPlease specify typestyle by I.D. Code for manual and computer forms and checks. If no typestyle is specifi ed, we’ll use TB2 - Helvetica Bold for the fi rst line and TB1 - Helvetica for all remaining lines.

Uncompromised Checks & Forms are imprinted in black ink. For other colors, logos, phantoms, extra imprint lines or other optional features, call for prices.

Look for the Uncompromised brand to insure a secure check. All Uncompromised & Uncompromised Plus checks are printed on security paper.

Prices, conditions and specifi cations are subject to change without notice. Colors of products illustrated are approximations.

Page 3: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

To view forms in greater detail visit www.healthcareprinting.net

Offi ce Supplies

3

Miscellaneous Supplies For a More Effi cient Offi ce!Having forms that fi t the application is so important to the effi ciency of your offi ce. Our medical receipt forms are designed specifi cally for the medical industry with spaces for the patient’s name and co-pay information. The last part is not perforated to make it easy to retain a permanent record for your fi les.

Sometimes you want your patient to try a new drug before issuing a prescription. These Pill Envelopes make it possible for you to send a small amount home with them. Gummed fl aps prevents contents from spilling.

Keep track of phone calls with this generic phone message book. Contains lots of room for caller’s message and all the standard check boxes. Part two remains in the book as a permanent record.

D PM-101Twin Loop Wire Bound Book, 8¼" x 5¼" Phone Memo BookEach message measures 23⁄4" x 51⁄4"150 Messages per bookAvailable blank only

A MRB-109Medical Receipt Books, 11" x 71⁄2"Receipt size 23⁄4" x 63⁄4"Imprint area 7⁄16" x 21⁄2"200 Receipts per book

B COPA-185 Co-Pay Medical Receipt Book , 11" x 61⁄8" Receipt size 23⁄4" x 51⁄2"Imprint area 3⁄4" x 13⁄4"200 Receipts per book

C PDE-9949Pill/Drug Envelope White 24#Size 21⁄4" x 31⁄2"Gummed flap

Receipts, Phone Books & Pill Envelopes

Page 4: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

CMS-1500 Insurance Claim Forms

4

Revised CMS-1500 Claim Forms (8/05)• National Uniform Claim Committee approved version.• Accommodates the National Provider Identifi er (NPI) number.• Available in Snap-A-Part, Continuous and Laser. • Printed in OCR-scannable red ink.

Depending on the number of claim forms you mail, you can choose either a small right window envelope or 121⁄2" x 9" large claim form envelope.

A MCF-387-2 - Snap-A-Part CMS-1500 Claim Form, 81⁄2" x 11"

B LCMS-1500 - 1 Part Laser - Blank only CMS-1500 Claim Form, 81⁄2" x 11"MCF-387-1 Laser Imprinted

Imprint Area

C CMS-1500 - Continuous, 1 or 2 parts CMS-1500 Claim Form, 91⁄2" x 11"

D ENV-9960, 41⁄8" x 91⁄2" Small Claim Form Envelope

41/4"

1"

7/8" x 41/4"

4"

97/8"

11/8" x 41/2"

E ENV-9961 Large Claim Form Envelope, 121⁄2" x 9"Imprint area 1" x 4"

E ENV-9969, 41⁄2 " x 9"Small Claim Form Envelope

35/8"

11/2"

11/8" x 41/2"

Snap-A-Part and Continuous Claim Forms are available blank or imprinted. Please specify when ordering.

Page 5: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

To view forms in greater detail visit www.healthcareprinting.net

UB-04 Insurance Claim Forms

5

E ENV-9835, Kraft® Catalog Envelope Open End, 9" x 12"Imprint area 8" x 103⁄4"

A UB-04, CMS-1450 – Continuous91⁄2" x 11"

B LUB-04, CMS-1450 – Laser81⁄2" x 11"

C MCF-389, UB-04, CMS-1450 – Snap-A-Part81⁄2" x 11"

D ENV-9910, 41⁄8" x 91⁄2"#10 White Wove

UB-04 (CMS-1450) Claim Form (Revised)• National Uniform Billing Committe approved version.• Accommodates the National Provider Identifier (NPI) number.• Available in Snap-A-Part, Continuous and Laser.• Printed in OCR-scannable red ink.

Snap-A-Part and Continuous are available blank or

imprinted. Specify when ordering.

Laser sold blank only.

Page 6: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

Hospital Menus & Diet Cards

6

Generic, Pediatric and Holiday MenusChoose from our selection of stock laser menus or request a custom design to meet your specifi c needs. All of our menus are printed on 24# laser paper with heat resistant ink and are compatible with all medical dietary programs. Stock menu sizes vary from 81⁄2" x 13" and 81⁄2" x 14" to 11" x 17". These menu designs are available blank or in one of 9 widely recognized color codes. (2000/case)

Call for availability and prices.

243450 - 243548Atrium, 81⁄2" x 14"

243922Celebrate the Season, 81⁄2" x 14"

243900 - 243908Navy Floral, 81⁄2" x 14"Also Available, 11" x 17", 681000 - 681008

681153Dinosaurs, 81⁄2" x 14"

This is just a sampleof the styles available.

Call for information and our full catalog.

Page 7: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

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Hospital Menus & Diet Cards

7

Regular683201

Soft683202

Liquid683204

Diabetic683205

Salt Free683210

Low Sodium683212

Bland683213

Low Fat683215

Special683219

Blank683290

687102White Diet Card Holder

687101Clear Diet Card Holder

685484Substitution Card

RecommendedDiet Coding

Regular Regular Diabetic Salt Free Low Fat or Liquid Bland or Soft Low Sodium

*Call for availability

Page 8: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

Laser Statements

8

LS-5730 - Navy LS 5731 - Hunter Green LS 5732 - Burgundy (shown)

Laser StatementBlank Front and Back81⁄2" x 11"

Professional Statement Promote Payment Response!• 8½" x 11"• Micro-perf 3 " from top • Choice of three colors - Navy, Burgundy or Hunter Green• Available blank or credit card information

LS-5733 - NavyLS 5734 - Hunter Green (shown)LS 5735 - Burgundy

Laser StatementChange of Address Backer 81⁄2" x 11"

LS-5736 - Navy LS 5737 - Hunter Green LS 5738 - Burgundy (shown)

Laser StatementMastercard & Visa on Front. Change of Address & Credit Card Info on Back 81⁄2" x 11"

LS-5742 - Navy (shown)LS 5743 - Hunter Green LS 5744 - Burgundy

Laser StatementMastercard, Visa, Discover & American Express on Front. Change of Address & Credit Card Info on Back81⁄2" x 11"

LS-5739 - Navy (shown)LS 5740 - Hunter Green LS 5741 - Burgundy

Laser StatementMastercard, Visa & Discover on Front. Change of Address & Credit Card Info on Back 81⁄2" x 11"

72HOURS

Page 9: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

To view forms in greater detail visit www.healthcareprinting.net

Patient File Jackets & Note Pads

9

Document Jackets Protect Your Patient’s Privacy!These jackets allow you to keep important information together. They can be used to keep papers in order, transfer fi les within your practice or to other doctors, labs, etc. Choose from fi ve colors or Manila. We offer two pre-designed formats or submit your custom design. Select one of four colors for your imprint – black, blue, red or green. For a slight up-charge you can have both sides printed.

Bic® Sticky Note Pads work great for doctors’ directions, patient referrals and advertisements. Available in White or Sungold.

C Bic® Sticky Notes3" x 3" PadsImprint area 25⁄8" x 25⁄8"

D Bic® Sticky Notes4" x 3" PadsImprint area 35⁄8" x 25⁄8"Adhesive is on the 4" side

A Document Jackets - Colors28# Prism12" x 91⁄4"Imprint area 101⁄16" x 81⁄2"

Format 3Medical 1

Format 4Medical 2

! Available Jacket Colors

Pink Blue Canary Green White

B Document Jackets100# Manila Tag, 12" x 91⁄4"Imprint area 101⁄16" x 81⁄2"Front or back

Choose from one of our standard formats or submit

your custom copy.

Bic® Note PadsMinimum Quantity: 500Paper Colors: White or Sungold (White is default if not specifi ed.) Imprint Colors: Black, Red, Yellow, Orange, Light Orange, Navy, Refl ex Blue, Blue, Royal, Purple, Plum, Burgundy, Lime, Green, Teal, Forest Green, Magenta, Brown, Cyan, Warm GrayPrice includes a 4-color process imprint. Converting 4-color process will not guarantee a perfect match to spot color. Specifi cations: Text can be as small as 6 point type. Lines must be 0.5 point thick. Floodcoat 10- 30% tint recommended. Phantom - 10% tints work best. No setup charges. No additional charge for phantom (ghost) imprints, fl ood coating or bleeds.

Back

Front

Page 10: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

Point of Purchase

10

7"

5"Message 2 Message 1

Print up to 6 colors on 10pt or 12pt

18¾"

23⁄8" 7" 7" 23⁄8"

Supply YourCustom Art!

Counter CardsPrints on 12pt, 15pt, 18pt, and 24pt. Most common sizes:

· 8½" x 11"· 13" x 19"· 19" x 26"

Designed to sit on a counter top to promote specials or sales

A

PostersPrints up to 6 Color on 100# Text

or Cover 12pt, 15pt, and 24pt. Common sizes:

· 13" x 19"· 19" x 26"· 26" x 38"

Posters are designed for indoor application to promote specials

or sales.

B

Table TentsCommon size:

· 5" x 7"

Designed to sit on any fl at surface. Can have 2 different messages on one sign. Designed to ship fl at and tabs together at the store.

C

Professional Posters and Table Tents can: • Provide medical information • Post offi ce hours • Request cooperation - no cell phones, no smoking, update insurance information.

Page 11: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

To view forms in greater detail visit www.healthcareprinting.net

Healthcare Folders

11

Healthcare ProfessionalsIt's easy to market and defi ne your image. We offer a variety of presentation products to help you build relationships, provide information and generate referrals. Use for:

• new patient welcome kits• pre and post care instructions• in-room materials• patient testimonials• physician recruiting materials• insurance paperwork• medical imaging• drug testing materials• and more!

All printed products use eco-friendly inks. Recycled and certifi ed stocks are available. Made in the U.S.A.

Ultra Sound/Photo HoldersHolds 3½" x 5" or 4" x 6"

Economy Foil Stamped Folders9" x 12" ClosedTwo 4¼" Pockets

Full Color Pocket FoldersVariety of sizes & shapes available

Medical Imaging CoversHolds 5" Disc

Supply yourcustom art!

Page 12: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

Checks

12

Convenience for the Offi ce and Away!Choose your General Expense Checks in either wire bound or 3-ring binder versions. Each check contains security features that deter alterations. Choose up to two microprint signature lines. Every check order includes 45 free deposit slips.

Use one of the sturdy 3-ring binders to keep your checks organized and safe.

A DFC-144, 145, 121, 122, 123Wire BoundGeneral Expense Checks, 32⁄3" x 81⁄2", 13" x 11" Overall2-Part – 150 Checks/50 Sheet Sets1-Part – 300 Checks/100 SheetsBlack ink only

B DFC-142, 143, 136, 137, 174, 175, 1763-Ring Binder Checks General Expense Checks, 32⁄3" x 81⁄2", 13" x 11" OverallBlack ink only

C RB-99843-Ring Check Binder, 143⁄4" x 115⁄8"Checks not included

Multi-part color sequence. . . Colors correspond to sequence and number of parts selected in your order.

Your Color ChoiceWhite

! Screened Background Colors

Blue Brown Green Red Yellow

! When Ordering ChecksBe sure to send a voided check or bank specifications sheet to insure correct MICR encoding.

72HOURS

Wire Bound & 3-Ring Binder

Page 13: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

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Deposit Tickets

13

Deposit Ticket Imprint ProgramThe economy business deposit ticket imprint program offers a low minimum quantity of 200. Whether the locations are large or small, our low minimum quantity allows you to choose the best quantity for individual locations.

Available in one to four parts Size: 34⁄10" x 83⁄8" single-part form 34⁄10" x 9" (includes 5⁄8" stub) multiple part sets

Papers: Original: White Duplicate: Pink Triplicate: Canary Quadruplicate: Blue

Parts: Carbonless one-part to four-part sets

Copy Printed: Parts same on all copies Minimum Order: • 200 per variable• Order 10 or more lots for best pricing• Suggested order quantities per location: 400, 800, 1,200 or 1,600

ICR Backer On All Copies

Variable Information:• Customer imprint• Financial Institution’s Imprint • MICR encoded on original

Options:• Padding• Shrink wrapping• Logos (provide camera ready artwork)• Book bound (full wrap-around cover with chip board back) 50 sets per book for two-part forms 50 sets per book for three-part forms 25 sets per book for four-part forms

Size: 34⁄10" x 8" single-part form 34⁄10" x 85⁄8" (includes 5⁄8" stub) multiple part sets

Papers: Original: White Duplicate: Canary Triplicate: Pink Quadruplicate: Blue

Parts: Carbonless one-part to four-part sets

Copy Printed: Parts same on all copies

Minimum Order: • 200 per variable• Order 10 or more lots for best pricing• Suggested order quantities per location: 400, 800, 1,200 or 1,600

Variable Information:• Customer imprint• Financial Institution’s Imprint• MICR encoded on original

Options:• Padding• Shrink wrapping• Logos (provide camera ready artwork)• Book bound (full wrap-around cover with chip board back) 50 sets per book for two-part forms 50 sets per book for three-part forms 25 sets per book for four-part forms

CDIP-7

CDIP-10CDIP-10D

CDIP-13CDIP-13D

Page 14: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

14

Also Available:LGPF-9802 Laser General Purpose FormLINV-9102 Laser Service InvoiceLINV-9101 Laser Product Invoice

LINV-9100, 8½" x 11"Laser Professional Invoice, 1, 2 or 3 Pts.ENV-947, ENV-947SS

D LS-9500, 8½" x 11"Laser Statement, 1, 2 or 3 Pts.ENV-947, ENV-947SS

D

800891, 8½" x 11"Laser Deposit Ticket, 1 Pt.

C

LGPC-9409, 8½" x 11"Laser General Purpose Check, 1, 2 or 3 Pts.Also available: LGPC-9499General Purpose Check without LinesENV-937, ENV-937SS(Uncompromised shown)

BA

YOUR COMPANY NAME

YOUR COMPANY NAME

XXXXXX

XXXXXX

Imprint includes black ink. Other inks available, call for pricing.

Blue Green Yellow Red Gray Burgundy Brown Purple

! Uncompromised Pantograph Colors – Laser

Teal

Teal Refl ex Blue Burgundy

! Uncompromised Plus – Laser Only

Green

Increase Effi ciency in Your Offi ce!Using checks and forms that work with your software keeps your offi ce organized and professional. To ensure you have the best checks, we made changes:

• New backgrounds • Additional colors • Enhanced security features • New name - Uncompromised (formerly Standard) and Uncompromised Plus (formerly Secure ImageSM)

Uncompromised Checks & Forms

Quickbooks®

Page 15: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

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Smart Start Kit Includes:

• Checks (250, 500 or 1000) • 50 2-part booked or 1-part laser deposit tickets (Quicken or Peachtree) • 1 endorsement stamp • 10 secure deposit bags • 100 double window envelopes (software compatible)

Mini Smart Start Kit Includes: • Checks (250, 500 or 1000) • 200 2 or 3-part booked or 1-part laser deposit tickets • 1 endorsement stamp

Secure Deposit Bag

Size: 9" x 12" Packaging: Strapped in 100’s with 1,000 per cartonFilm Weight: 2.25 mil.Color: Clear fi lm with printing on face only, clear back with deposit pouchMinimum Order: 10

Deposit Tickets

Size: 35⁄8" x 8½" (includes " stub)Parts: 2 parts bound 50 sets per book 3 parts bound 25 sets per bookVariable Information • Financial Institution Imprint • Customer Imprint • MICR Encoding

Secure Deposit Bag

Endorsement StampSelf inking stamp.

• Black Ink pad inside the stamp mount • Re-inks with every use • Great for high volume • 6 lines of type, 30 characters per line

A B

DE

Uncompromised Offi ce Accessories

C

Page 16: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

Tags & Labels

16

How Can a Tag or Label Help Your Practice Run More Smoothly?Tags and labels can perform a variety of functions in the medical industry. We can provide the standard tags & labels you use everyday or a custom tag or label to meet the unique needs of your practice. Include a barcode, numbering, shape, color, material or any of the many options available. Call for availability and pricing.

Prescription LabelReminder Labels

Numbered LabelsRequest the label sizes you need to use in your lab or blood bank.

Patient Call LabelTrack patients calls to doctors response. Adheres to patient's chart to prevent the information from being lost.

Form/Label CombinationPrint up to 6 colors and custom die-cut patterns to create multiple labels.

Variable ImagingLaboratory Specimen Label

Property IDLabel Die-Cut

Page 17: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

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Tags & Labels

17

Great for:• Physician Practices• Hospitals• Pharmacies• Dentists• Specialist Companies - Home Health Care Organizations - Nursing Homes/Assisted Living - Physical/Occupational Specialist - Chiropractic - Funeral Homes• Service Support Companies - Ambulance Services - Hospital Gift Shops

Continuous Tags - Reminder Cards4 Color Process

Single Tag Gift Card

Multipart TagAvailable 2 to 5 parts. Copy can be identical or different from part to part.

Special Material TagEmergency Room Triage Tag

Die-Cut Tag Die-Cut TagRotary File Card

Single Tag

Page 18: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

Advertising Concepts

18

Clip Imprint Area: 11⁄8" x 5⁄32"

Barrel Imprint Area: 21⁄8" x 3⁄4"

C Bic® Clic Stic Pens

PMS: $35.00(V).Fax/E-mail Proof: $10.00(V) Add 5 working days.Production: 7 working days after all approvals.Barrel Imprint Area: 21⁄8" x 3⁄4" Clip Imprint Area: 11⁄8" x 5⁄32"Barrel/Trim: Teal, Purple, Yellow, Forest Green, Burgundy, Navy, Blue, Red, Black, White, Clear, Cream, Green, Orange, Silver (barrel only).Point/Ink Colors: Medium Point Black, Blue or Red. Fine Point Black or Blue.Imprint Colors: White, Yellow, Navy, Purple, Green, Brown, Black, Orange, Refl ex, Burgundy, Teal, Charcoal, Red, Pink, Process Blue, Maroon, Forest Green, Cream.Metallic Imprint Colors: Blue, Gold, Copper, Green, Magenta, Silver.Note: Maximum 3 colors on barrel and 1 color on clip.

Typeset: $1.50(V) per line over 5 lines.Fax/E-mail Proof: $15.00(V) Add 2 working days.Production: 5 working days after all approvals.Standard Paper Colors: White, Canary Yellow®, Light Gray, Sky Blue, Cream, Carnation Pink, Spring Green.Neon Paper Colors: Ultra Grape, Neon Pink, Ultra Yellow, Peach Azalea,Neon Lime, Neon Orange. Black ink is recommended on neon stock.Recycled Paper: White only. Add 10%.Ink Colors: Black, 185 Red, 300 Blue. 1-color imprint only.Screens: Minimum 10%. No screened text.Bleeds: Not available on low minimums.Note: Imprinting in the adhesive area can cause picking of the ink from the adhesive above. Orders will not be reprinted based on these circumstances.

A Low Minimum Post-it® Notes Standard and Neon Paper

B

Post-it® Notes & Bic® Pens

Page 19: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

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Advertising Concepts

19

Production: 9 working days after all approvals. 7 working days for exact repeats.Plastic 2.5 mil. bags with fold-over reinforced die-cut handles. Price includes a one-color ink imprint on one side. Plate charge is per color per side.Item Colors: White, Buff, Clear, Red, Yellow, Gray, Bright Blue, Pink.Imprint Colors: White, Black, Pantone Yellow, 021 Orange, 032 Red, 199 Red, 201 Maroon, 208 Burgundy, 215 Cranberry, Rubine Red, Rhodamine Red, Pantone Violet, Pantone Purple, 072 Blue, Reflex, 282 Navy, 293 Blue, Process Blue, Pantone Green, 349 Green, 354 Green, 320 Teal, 469 Brown, 871 Gold, 877 Silver, 876 Copper.Note: Art requires 1⁄2" space between colors on 2-color imprints and must be pre-approved.

Production: 9 working days after all approvals.Imprint Colors: 185 Red, 186 Red, 200 Red, Warm Red, 211 Pink, 2655 Purple, Pantone Purple, Pantone Violet, 208 Burgundy, 320 Aqua, 2747 Blue, 293 Blue, 2985 Blue, Process Blue, Reflex, 116 Yellow, 102 Yellow, 143 Yellow, 474 Beige, 465 Tan, 172 Orange, 477 Brown, 430 Gray, Cool Gray 1, 347 Green, 349 Green, 364 Green, 368 Green, Black, White, 877 Silver, 873 Gold, 806 Pink, 811 Orange, 809 Yellow, 802 Green.

A Custom Business Card Magnets

Awareness Ribbons Promote Increased Knowledge! • Cancer • Women’s Heart Disease • AIDS • Teen Violence • Abuse

Unprinted or printed. Call for pricing.

B Die-Cut Handle Bags

Business Card Magnets, Care Ribbons & Supply Bags

Page 20: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

20

Custom Receipt Books

Design a Receipt Book That Works With Your Practice!If the receipt books you find just doesn’t work for you, let us print one that will. Provide us with artwork or a sample that has the changes you need and we will produce your perfect book. These special features make wire bound books a wise choice: • Wire bound books lay flat when opened • Plastic-coated heavy gauge twin-loop wire won’t spring like spiral binding • Includes cover with insert to prevent copy transfer to other receipts • White cover stock can be blank or printed • Chipboard back

Ordering is Easy!Choose: • Number of parts • Starting number • Ink color • Submit your custom art

Multi-part color sequence. . . Colors correspond to sequence and number of parts selected in your order.

! Available Ink Colors

BluePMS 293

Black RedPMS 185

ReflexBlue

A

HunterPMS 336

MaroonPMS 202

NavyPMS 294

BluePMS 300

GreenPMS 347

BrownPMS 463

BurgundyPMS 1955

GrayPMS 430

B 2 and 3 Part Carbonless - 4 On-A-Page

Overall Size . . . . . . . . . . . 81⁄2" x 11"Form Size . . . . . . . . . . . . . 23⁄4" x 81⁄2"Maximum Print Area . . . 21⁄8" x 8"

C D 2 and 3 Part Carbonless - 6 On-A-Page

Overall Size . . . . . . . . . . . 91⁄2" x 11"Form Size . . . . . . . . . . . . . 32⁄3" x 43⁄4"Maximum Print Area . . . . . 3" x 41⁄2"

Page 21: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

To view forms in greater detail visit www.healthcareprinting.net 21

Custom Receipt Books

Finish your bookwith a professional

Customized Book Cover!

A

C Custom Book CoverOnce you have decided what you need in a book, you can design the cover. Covers are printed in Black ink. If you want your book cover printed in a color other than Black, see page 18 for ink colors.

B 2 and 3 Part Carbonless - 8 On-A-Page

Overall Size . . . . . . . . . . . 91⁄2" x 11"Form Size . . . . . . . . . . . . . 22⁄3" x 43⁄4"Maximum Print Area . . . 21⁄8" x 41⁄2"

Page 22: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

Integrated Products

22

Streamline Internal ProceduresCombine your forms with labels, I.D. cards, tags, wrist bands, name tags and much more. A variety of numbering options are available to reduce error and processing time. For security purposes, special adhesives are used to produce tamper evident labels. Once attached to a specimen bottle it cannot be removed without destoying the label.

Applications:• Bar Code Tracking Labels• Coupons• Description Labels• Direct Mail/Promotional Pieces• Invoices• Magnets• Membership Cards• Packing Lists with Return Labels• Prescription Labels

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Integrated Products

23

Professional Forms for:• Physicians• Hospitals• Labs• Pharmacies• Emergency Care Centers• Dentists

Healthcare Forms the Way You Need Them!These forms can be manufactured to fi t your practice requirements. Do you need a form with special label or card? We can provide it. Finish your form with special options, such as:• Numbering• Barcodes• Special Adhesives

Page 24: professional industry forms · This catalog contains the forms, labels and accessories you need for your practice. In addition to insurance claim forms and hospital menus, we provide

labels & tags

wire bound books

care ribbons

laser statements

cms-1500

medical document jackets

manual checks

menu & diet cards