New - 2006
ADA Forms
FREE
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Envelopes at bottom of page!
Attending
Dentist's Statements...
Call us if your
form is not listed - for a quote!! 1-800-289-4480
The
American Dental Association (ADA) has authorized a number of
different claim/attending dentist's forms over the years. We
inventory those versions that are supported by the greatest
number of dental software packages. We have been officially
licensed by the ADA to produce the 1987, 1990, 1994 and 2000
versions.
DENTAL
CLAIM FORMS
2006
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Attending
Dentist's Statement (2006) Tractor Feed Form #
2601
Quantity Per Box:
2500 Sheets
$
56.95 per box
FREE
Shipping included on above item!!
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Attending
Dentist's Statement (2006) Tractor feed 2 part forms 1000 sets
per box Form #2602
Quantity Per Box:
1000 Sheets
$
49.95 per box
FREE
Shipping included on above item!!
2002
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Attending
Dentist's Statement (2002) Laser Cut-sheet
Form #
2300
Quantity Per Box:
2500 Sheets
$
56.95 per box
FREE
Shipping included on above item!!
2002
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ADA
Attending Dentist's Statement (2002) 1 part Continuous
Form #
2301
Quantity Per Box:
2500
$
41.95 per box
FREE
Shipping included on above item!!
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ADA
Attending Dentist's Statement (2002) 2 part Continuous
Form #
2302
Quantity Per Box:
1000 sets
$
41.95 per box
FREE
Shipping included on above item!!
2002
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ADA
Dental Claim Form 2 part snap set )
Form #
2002S
Quantity Per Box:
500 Sets
$
41.95 per box
FREE
Shipping included on above item!!
MISC
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ADA
Dental Claim Form '85 Laser cut sheet
Form #
1850
Quantity Per Box:
2500 Sheets
$
56.95 per box
FREE
Shipping included on above item!!
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ADA
Dental Claim Form 1 part Continuous Black Ink (1985)
Form #
1851
Quantity Per Box:
2500 Sheets
$
56.95 per box
FREE
Shipping included on above item!!
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ADA
Dental Claim Form 2 part Continuous Black Ink (1985)
Form #
1852
Quantity Per Box:
1000 sets
$
41.95 per box
FREE
Shipping included on above item!!
2000
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ADA
Dental Claim Form Laser cutsheet (2000)
Form #
2000
Quantity Per Box:
2500 Sheets
$
54.95 per box
FREE
Shipping included on above item!!
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ADA
Attending Dentist's Statement (2000) 1 part Continuous
Form #
2001
Quantity Per Box:
2500
$
41.95 per box
FREE
Shipping included on above item!!
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ADA
Attending Dentist's Statement (2000) 2 part Continuous
Form #
2002
Quantity Per Box:
1000 sets
$
41.95 per box
FREE
Shipping included on above item!!
1987
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ADA
Dental Claim Form Laser cutsheet Blue Ink (1987)
Form #
870
Quantity Per Box:
2500 Sheets
$
55.95 per box
FREE
Shipping included on above item!!
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ADA 1
part continuous Blue (1987)
Form #
871
Quantity Per Box:
2500
$
41.95 per box
FREE
Shipping included on above item!!
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ADA 2
part continuous Blue (1987)
Form #
872
Quantity Per Box:
1000 sets
$
41.95 per box
FREE
Shipping included on above item!!
1990
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ADA
Dental Claim Form Laser cutsheet Green Ink (1990)
Form #
900
Quantity Per Box:
2500 Sheets
$
55.95 per box
FREE
Shipping included on above item!!
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ADA 1
part continuous Green (1990)
Form #
901
Quantity Per Box:
2500
$
41.95 per box
FREE
Shipping included on above item!!
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ADA 2
part continuous Green (1990)
Form #
902
Quantity Per Box:
1000 sets
$
41.95 per box
FREE
Shipping included on above item!!
1994
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ADA
Dental Claim Form Laser cutsheet Teal Ink (1994)
Form #
1940
Quantity Per Box:
2500 Sheets
$
55.95 per box
FREE
Shipping included on above item!!
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ADA 1
part continuous Teal Ink (1994)
Form #
1941
Quantity Per Box:
2500
$
41.95 per box
FREE
Shipping included on above item!!
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Number
10 Single (Self-Seal) Window Envelope (4 1/8" X 9
)
Form
# 2003ES
Quantity
Per Box: 500
$
41.95 per box
FREE Shipping included on above item!!
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Number
10 Single (Self-Seal) Window Envelope (4 " X 9
)
Form
# 2000ES
Quantity
Per Box: 500
$
41.95 per box
FREE Shipping included on above item!!
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Number
10 Single (Self-Seal) Window Envelope For Version
1994, 90, 87, 85 4 1/2" X 9 " Window)
Form
#
1994ES
Quantity
Per Box: 500
$
41.95 per box
FREE Shipping included on above item!!
