Healthcare Forms
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations.
Our preprinted laser sheet and continuous healthcare forms meet all government regulations.
| Form Description/Size | Item # | Qty/Ctn |
| Form 1500 – Laser Sheet, 8-1/2 x 11 | 04106 | 2,500 |
| Form 1500 – Continuous, 9-1/2 x 11, 1 part | 05102 | 2,500 |
| Form 1500 – Continuous, 9 1/2 x 11, 2 part (white/white) | 05104 | 1,000 |
| Form 1500 – Continuous, 9 1/2 x 11, 2 part (white/canary) | 05106 | 1,000 |
| Form UB-04 – Laser Sheet, 8-1/2 x 11 | 05108 | 2,500 |
| Form UB-04 – Continuous, 9-1/2 x 11, 1 part | 05109 | 2,500 |
| Form UB-04 – Continuous, 9-1/2 x 11 | 05110 | 1,000 |
