- Appointment Cards
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- Patient Exam Records
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Laser Blank ACA Form 1095 w/Backer, 8 1/2 x 11"
JDF-TF5097$32.00Meet your reporting requirements under the Affordable Care Act (ACA). Blank form with backer functions as 1095B or 1095C when your software prints the entire front side. Compatible with laser or inkjet printers.` 1 filing per sheet; packaged in... -
Laser 1095C ACA Set w/Envelopes, 8 1/2 x 11"
JDF-TF5096E$94.00All the forms and envelopes you need for hard-copy filing 1095C under Affordable Care Act (ACA). Simply order by the number of employees. Simply order by the number of employees. Paper Filing Due Date: To IRS, February 28 // To Recipient January 31 Meet... -
Laser 1095C ACA Continuation Sheet, 8 1/2 x 11"
JDF-TF5096C$26.00Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance. Compatible with laser or inkjet printers. 1 filing per sheet; shrinkwrapped in packs of 25. Continuation... -
Bulk Laser 1095C Employer Provided Health Insurance, 8 1/2 x 11"
JDF-TF5096B$84.00Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance. One page with backer information per form; packaged 500 forms per carton. Compatible with laser or inkjet... -
Laser 1095C Employer Provided Health Insurance, 8 1/2 x 11"
JDF-TF5096$32.00Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report whether employees were offered health insurance. One page with backer information per form; packaged in quantities of 100. Paper filing due date: to IRS by... -
Laser 1095B ACA IRS Copy Continuation Sheet, 11 x 8 1/2"
JDF-TF5095N$26.00Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan. Paper Filing Due Date: To IRS, February 28 // To Recipient January 31 Report to IRS in mandated landscape format... -
Laser 1095B ACA Health Coverage IRS Copy, 11 x 8 1/2"
JDF-TF5095L$32.00Meet your reporting requirements under the Affordable Care Act (ACA). Use to report employees who are covered under your health plan. Paper Filing Due Date: To IRS, February 28 // To Recipient January 31 Typically used by payroll companies and smaller... -
Laser 1095B ACA Set w/Envelopes, 8 1/2 x 11"
JDF-TF5095E$72.00All the forms and envelopes you need for hard-copy filing 1095B under Affordable Care Act (ACA). Simply order by the number of employees. Tax set includes, per employee: (1) 1095B IRS copy, (2) 1095B employee/employer copy, (1) employee mailing... -
Laser 1095B ACA Continuation Sheet, 8 1/2 x 11"
JDF-TF5095C$26.00Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. Paper filing due date: to IRS by February 28 / to recipient by January 31. Continuation form is used in addition to... -
Laser 1095B ACA Health Coverage, 8 1/2 x 11"
JDF-TF5095$32.00Meet your reporting requirements under the Affordable Care Act (ACA) by using this form to report employees covered by your health plan. Typically used by payroll companies and smaller companies with self-funded insurance plans. 1 filing per sheet;... -
Continuation Exam Records, Without Account Record, Letter St, 8 1/4 x 10 3/4"
JDF-H1592$46.00Continuation exam records allow you to keep documenting visits after the original case history is completed. Please note: No account record. Double-sided forms. Forms are identically printed on both sides in black ink. SIZE: 8 1/4 x 10 3/4" -
Continuation Exam Records, Single Sheet, 4 1/2 x 8"
JDF-H159$46.00Keep a running record of patients' visits with single sheet Continuation Exam records. Convenient and easy to use, they provide additional documentation space after initial patient record is filled. Durable 24 lb. buff ledger stock. Please note: Account...