Products
ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF HEALTH INFORMATION PRACTICES
Finished Size: 8.5 x 11
Digital: Color
Sides: Single
Stock: 28# Color Copy White
Finishing:
Unit: Pack [100/pk]
$25.86
ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF HEALTH INFORMATION PRACTICES-SPANISH
Finished Size: 8.5 x 11
Digital: Color
Sides: Single
Stock: 28# Color Copy White
Finishing:
Unit: Pack [100/pk]
$25.86
AL AUTHORIZATION FOR USE AND DISCLOSURE OF PHI
Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$9.86
CONSENT FOR INFANT TO STAY WITH MOTHER DURING HOSPITALIZATION
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
CONSENT TO SUPPLEMENT THE EXCLUSIVELY BREASTFED NEWBORN
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
GOOD FAITH ESTIMATE
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
INFORMED CONSENT FOR VACCINATION
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
MODEL BILLING BALANCE 11 x 17 POSTER
Finished Size: 11 x 17
Digital: Color
Sides: Single
Stock: 80# Silk Cvr
Finishing: Lamination, Flush Cut
Unit: Pad [100/pd]
$161.76
MODEL BILLING BALANCE 8.5 X 11
Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$9.86
NO SUICIDE CONTRACT
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
NOTICE OF NONDISCRIMINATION
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
OPT OUT FORM
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
PATIENT ACCESS CODE
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
PATIENT CONSENT TO HIV TEST
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 2-Part NCR
Finishing:
Unit: Pad [100/pd]
$18.31
PATIENT GUIDE CARDS - BIRMINGHAM
Finished Size: 3.75 x 2.25
Digital: Color
Sides: Single
Stock: 100# Accent Cvr
Finishing:
Unit: Pack [100/pk]
$25.00
PATIENT GUIDE CARDS - BLOUNT
Finished Size: 3.75 x 2.25
Digital: Color
Sides: Single
Stock: 100# Accent Cvr
Finishing:
Unit: Pack [100/pk]
$25.00
PATIENT GUIDE CARDS - CHILTON
Finished Size: 3.75 x 2.25
Digital: Color
Sides: Single
Stock: 100# Accent Cvr
Finishing:
Unit: Pack [100/pk]
$25.00
PATIENT GUIDE CARDS - EAST
Finished Size: 3.75 x 2.25
Digital: Color
Sides: Single
Stock: 100# Accent Cvr
Finishing:
Unit: Pack [100/pk]
$25.00
PATIENT GUIDE CARDS - ST. CLAIR
Finished Size: 3.75 x 2.25
Digital: Color
Sides: Single
Stock: 100# Accent Cvr
Finishing:
Unit: Pack [100/pk]
$25.00
PAYMENT DUE AT TIME OF REGISTRATION [WALL CLING]
Finished Size: 5 x 7
Digital: Color
Sides: Single
Stock: Wall Cling
Finishing:
Unit: Each [1/pk]
$10.00
POST DELIVERY EARLY DISCHARGE CONSENT FORM
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
PREGNANCY VERTIFICATION - IMAGING
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 3-Hole Drill
Unit: Pad [100/pd]
$8.86
REFUSAL OF BLOOD TRANSFUSION
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 3-Hole Drill
Unit: Pad [100/pd]
$8.86
REFUSAL OF CONTINUOUS FETAL MONITORING
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
RELEASE FOR KEEPING ITEMS ON PERSON DURING SURGERY
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
RELEASE FOR KEEPING ITEMS ON PERSON DURING SURGERY - SPANISH
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86
SURRENDER OF CUSTODY
Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$5.86