Forms - Custom Printed Superbills & Statements • Continuous (pin-fed) • One-Write • Laser ALSO AVAILABLE FROM GGA • Business Cards • Appointment Cards • Letterhead • Physician Order Forms • Patient Registration Forms • Color-coded file labels • Prescription Pads • Lab Mount Sheets Choose From these colors: (Colors on screen are not exact. Call to request color samples) Superbills are printed to your specifications with the codes and procedures you use most. Encounter forms provide your patients with a complete customized receipt and/or insurance claim form. Let us help you design a superbill that fits your software. • Statements can also be customized to your requirements and designed to fit your software. • Send us a sample of any form you are currently using and we will guarantee a perfect match! Continuous (pin-fed) Carbonless Paper Superbills & Statements: Size 9.5" X 7" Item# # of parts Quantity     1,000 2,500 5,000 10,000 801 1 87.00 110.00 147.00 258.00 801-2 2 120.00 189.00 316.00 510.00 801-3 3 142.00 249.00 415.00 695.00   Superbills & Statements: Size 9.5" X 8.5" Item# # of parts Quantity 1,000 2,500 5,000 10,000 821 1 99.00 129.00 175.00 280.00 821-2 2 139.00 225.00 359.00 595.00 821-3 3 175.00 295.00 485.00 960.00   Superbills & Statements: Size 9.5" X 11" Item# # of parts Quantity     1,000 2,500 5,000 10,000 841 1 92.00 119.00 159.00 259.00 841-2 2 142.00 259.00 410.00 595.00 841-3 3 184.00 345.00 535.00 855.00   Laser Superbills & Statements: Size 8.5" X 11" Item# # of parts Quantity     1,000 2,500 5,000 10,000 861 1 85.00 129.00 199.00 365.00 Send us a sample of any form you are currently using and we will guarantee a perfect match! One-Write (Compatible with Safe-guard, Control-O-Fax. Colwell, NBS, McBee and Medical Arts Press) Carbonless Paper Superbills & Statements: Size 5" X 12" Item# # of parts Quantity     1,375 2,750 5,500 871-2 2 198.00 325.00 550.00 871-3 3 230.00 375.00 685.00   Superbills & Statements: Size 8.5" X 12" Item# # of parts Quantity     1,375 2,750 5,500 881-2 2 275.00 415.00 720.00 881-3 3 340.00 550.00 950.00   Superbills & Statements: Size 14" X 12" Item# # of parts Quantity     1,375 2,750 5,500 891-2 2 389.00 575.00 998.00 891-3 3 520.00 780.00 1,390.00