FORMS, LABELS & SUPPLIES

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PHONE: 800-401-9771 FAX: 800-346-2998 FORMS, LABELS & SUPPLIES Compatible with the following software: CS PracticeWorks CS SoftDent OrthoTrac Orthoware CS WinOMS Windent

Transcript of FORMS, LABELS & SUPPLIES

Page 1: FORMS, LABELS & SUPPLIES

PHONE: 800-401-9771

FAX: 800-346-2998

FORMS, LABELS & SUPPLIESCompatible with the following software:

• CS PracticeWorks • CS SoftDent

• OrthoTrac • Orthoware

• CS WinOMS • Windent

Page 2: FORMS, LABELS & SUPPLIES

Call 800-401-9771 2

The RR Donnelley - Carestream Dental partnership was developed with one clear purpose to deliver value to ourmutual clients. Our comprehensive product line includes everything from pre-printed forms and labels tobar code labeling solutions. We listen to your needs, then respond by developing and manufacturing the rightform and label solution, tailored to you.

Payment OptionsFor your convenience,we accept:

You can also open a credit-approved RR Donnelley account.

Return PolicyIf for any reason, you are not 100% satisfied with any stockproduct, please return it for a full refund or exchange within 90 days of your invoice date. Defective custom or imprintedorders are also covered under the same terms. If your productis not printed as ordered, we’ll fix it or refund the money,whichever you prefer.

A Return Authorization Number must accompany all returns. Toobtain a Return Authorization Number, please call us at1.800.401.9771. Have your invoice number and date availablewhen you call.

We will accept non-defective, re-saleable stock products ifreturned within 90 days from the invoice date in its originalpackaging. A 20% restocking fee applies to all re-saleablestock items. Non-defective imprinted and custom productsare not eligible for return.

08.2012Copyright © 2012 R. R. Donnelley & Sons Company

All rights reserved.Prices, conditions and specifications in this catalog are subject to change without notice.

FSC Recycled facilities available.Ask for details.

All RR Donnelley plants have obtained FSC certification (ForestStewardship Council) ensuring that all of our paper is obtained from

responsibly managed sources.

Prescription Paper .........................................3

Labels, MiniBucks, Toner Cartridges ...............4

Insurance Claim Forms, Envelopes ..................5

Payment Coupons, Covers, Envelopes..............6

Appointment Tickets, Cards ............................7

Statements ....................................................8

Envelopes......................................................9

Appointment Reminder Post Cards............10-11

Chart Labels ................................................12

Insurance and Billing Labels.........................13

Filing Systems .............................................14

Character Stickers .......................................15

TABLE OF CONTENTS

Convenient Ways to OrderA sales specialist will take your order quickly and courteously,Monday through Friday, 8:00 a.m. to 7:00 p.m. EST

Phone 800-401-9771

Fax 800-346-2998Mail RR Donnelley

Attn: Order Processing Department300 Lang Blvd.Grand Island, NY 14072

Email [email protected]

ShippingWe ship via UPS so you get the items you need ASAP.Overnight shipping is also available at an additional cost.All shipping and handling charges will be clearly shown onyour invoice.

Delivery SchedulesStock Items – Releases from warehouse in 24-48 hoursCustom Items – Approximately 3 weeks from the date order is receivedProduct, prices and information in this catalog is subject to change without notice. RR Donnelley reserves the right to change all prices, products, offers and to correcttypographical errors without notice. RR Donnelley also reserves the right to limit order quantityand/or frequency of order. This catalog and its offers supersede all previous catalogs and offers.

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Fax 800-346-2998 3

Prescription PaperA

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LASER PRESCRIPTION PAPER - 2 PER PAGEThis format prints two prescriptions per page and two copies for records.Security features on back.

SOFTWARE COMPATIBILITY:

SOFTWARE COMPATIBILTY INDEX:

• CS PracticeWorks

• CS SoftDent• OrthoTrac

• Orthoware• CS WinOMS

• Windent

Item State Size Quantity/Pkg PriceMD29A All States 81⁄2" x 11" 500 $28.54MD29GA Georgia 81⁄2" x 11" 1000 $216.00MD29FL Florida 81⁄2" x 11" 500 $98.04

ABC

LASER PRESCRIPTION PAPER - 1 PER PAGEThis format prints one prescription per page, one copy and a description/instruction portion on bottom for records. Security features on back.

SOFTWARE COMPATIBILITY:

Item State Size Quantity/Pkg PriceSD06A All States 81⁄2" x 11" 500 $29.35SD06GA Georgia 81⁄2" x 11" 500 $155.00SD06FL Florida 81⁄2" x 11" 500 $98.04SD06WA Washington 81⁄2" x 11" 500 $53.75

DEFG

Contact us for state specific requirements. We are an approved distributor formost states: • CALIFORNIA • FLORIDA • INDIANA • KENTUCKY• MAINE • NEW JERSEY • WASHINGTON • WEST VIRGINIA • WYOMING

LASER PRESCRIPTION PAPER - 3 PER PAGEPrescription paper for Windent software. This format prints three prescriptions and three copies. Security features on back.

SOFTWARE COMPATIBILITY:

Item State Size Quantity/Pkg PriceWDSCPT All States 81⁄2" x 11" 1000 $121.22H

HOW TO USE THIS CATALOGColor is Key! Each type of Carestream Dental practice managementsoftware is indicated by a special color code. Most items willhave a particular function or compatibility with specific software.Just look for the corresponding color to the Carestream Dentalpractice management software that your office uses. Helpfulreminder keys throughout the catalog make it easy to find whatyou need.

BACK 2-UP

THIS DOCUMENT CONTAINS THE FOLLOWINGSECURITY FEATURES:

SECURITY FEATURE:

VOID PANTOGRAPH

ERASURE PROTECTION

SECURITY BACK PRINTING

INVISIBLE FLORESCENT FIBERS

BROWN STAIN/SOLVENT REACTIVE

RESULTS OF DOCUMENTDUPLICATION orALTERATION

The word “VOID” appears whendocument is photocopied

White mark appears when erased

Words “SECURITY PRESCRIPTION”appear on reverse side of documentwhen held at a 45˚ angle

Fibers appear under black light

Instantly signals alteration attemptswith solvents & bleach

BACK 1-UP

THIS DOCUMENT CONTAINS THE FOLLOWINGSECURITY FEATURES:

Security Features:

VOID PANTOGRAPH

ERASURE PROTECTION

FLORESCENT FIBERS

BROWN STAIN/SOLVENT REACTIVE

RESULTS OF DOCUMENTDUPLICATION orALTERATION

The word “VOID” appears whendocument is photocopied

White mark appears when erased

Absence of Fibers under black light.

Instantly signals alteration attemptswith solvents & bleach

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ORIGINAL DOCUMENT ORIGINAL DOCUMENT ✮ ✮ ORIGINAL DOCUMENT ORIGINAL DOCUMENT ORIGINAL DOCUMENT ORIGINAL DOCUMENT ✮ ✮ ORIGINAL DOCUMENT ORIGINAL DOCUMENT ORIGINAL DOCUMENT ORIGINAL DOCUMENT ✮ ✮ ORIGINAL DOCUMENT ORIGINAL DOCUMENT ORIGINAL DOCUMENT ORIGINAL DOCUMENT ✮ ✮ ORIGINAL DOCUMENT ORIGINAL DOCUMENT ORIGINAL DOCUMENT ORIGINAL DOCUMENT ✮ ✮ ORIGINAL DOCUMENT ORIGINAL DOCUMENT ORIGINAL DOCUMENT ORIGINAL DOCUMENT ✮

Security Features: Face of this document hasa blue background on white paper, visible VOIDpattern across the face when copied. ORIGINALDOCUMENT is stepped and repeated across the back. Artificial watermark on back of Pharmacy form.

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BACK

Page 4: FORMS, LABELS & SUPPLIES

Call 800-401-9771

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OMS MiniBuckPATIENT NO. ASSIST NO.

PROCEDURES DONE TODAY TIME UNTIL NEXT

UNITS NEXT PROCEDURE APPT. CODE

COMMENTS

S-148 06/02

PROGRESS REPORT

letters:

misc.

OMS MiniBuckPATIENT NO. ASSIST NO.

PROCEDURES DONE TODAY TIME UNTIL NEXT

UNITS NEXT PROCEDURE APPT. CODE

COMMENTS

S-148 06/02

PROGRESS REPORT

letters:

misc.

FOMS MiniBuck

PATIENT NO. ASSIST NO.

PROCEDURES DONE TODAY TIME UNTIL NEXT

UNITS NEXT PROCEDURE APPT. CODE

COMMENTS

S-148 06/02

PROGRESS REPORT

letters:

misc.

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OMS MiniBuckPATIENT NO. ASSIST NO.

PROCEDURES DONE TODAY TIME UNTIL NEXT

UNITS NEXT PROCEDURE APPT. CODE

COMMENTS

S-148 06/02

PROGRESS REPORT

letters:

misc.

OMS MiniBuckPATIENT NO. ASSIST NO.

PROCEDURES DONE TODAY TIME UNTIL NEXT

UNITS NEXT PROCEDURE APPT. CODE

COMMENTS

S-148 06/02

PROGRESS REPORT

letters:

misc.

OMS MiniBuckPATIENT NO. ASSIST NO.

PROCEDURES DONE TODAY TIME UNTIL NEXT

UNITS NEXT PROCEDURE APPT. CODE

COMMENTS

S-148 06/02

PROGRESS REPORT

letters:

misc.

MULTI PURPOSE LASER LABELSCan be used for chart labels or mailing labels. 100 sheets per box.

SOFTWARE COMPATIBILITY:

SOFTWARE COMPATIBILTY INDEX:

• CS PracticeWorks

• CS SoftDent• OrthoTrac

• Orthoware• CS WinOMS

• Windent

Item Description Size Quantity/Box PriceS106A 20 Labels Per Sheet 4" x 1" 2000 $28.35A

BC

TRANSCRIPTION LABELSSOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PricePW01A 10 Labels Per Page 8" x 1" 1100 $32.03PW02A 5 Labels Per Page 8" x 2" 500 $32.03

B

MINIBUCKSUsed to make notes to tell the billing clerk how to code patient’s bills, theMiniBucks are now used for several general office purposes.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Pkg PriceS148Y Yellow 3" x 4" 100 sheets/pad / 10 pads/pkg $27.47S148HPA Hot Pink 3" x 4" 100 sheets/pad / 10 pads/pkg $27.47S148LA Lime Green 3" x 4" 100 sheets/pad / 10 pads/pkg $27.47S148AA Assorted Colors 3" x 4" 100 sheets/pad / 12 pads/pkg $32.00

DEFG

TONER CARTRIDGES, BACKUP TAPESWe carry a large selection of toner cartridges, backup tapes, receipt tapes and many other office essentials.

CALL FOR DETAILS

Page 5: FORMS, LABELS & SUPPLIES

Fax 800-346-2998

Insurance Claim Form

s, Envelopes

5

ADA-2006 CLAIM FORMCompatible with envelopes ADAER, ADAES.

SOFTWARE COMPATIBILITY:

SOFTWARE COMPATIBILTY INDEX:

• CS PracticeWorks

• CS SoftDent• OrthoTrac

• Orthoware• CS WinOMS

• Windent

Item Description Size Quantity/Box PriceADA06 Dental Claim 81⁄2" x 11" 500 $30.00A

ADA-2002 CLAIM FORMCompatible with envelopes ADAER, ADAES.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceADA02A Dental Claim 81⁄2" x 11" 500 $30.00B

ADA-2002 INSURANCE ENVELOPE - SELF SEALSOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceADAES Window Envelope 87⁄8" x 41⁄8" 500 $45.00C

ADA-2002 INSURANCE ENVELOPE - REGULAR SEALSOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceADAER Window Envelope 87⁄8" x 41⁄8" 500 $44.00D

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EHCFA-CMS 1500 MEDICAL BILLING FORMSOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceWDHCFA Windent ONLY 81⁄2" x 11" 1000 $106.00790-0129NV* All Other Software 81⁄2" x 11" Call For PricingVX90220* Self Seal Envelope 91⁄2" x 41⁄8" 500 $72.74

* F & G are not shown.

EFG

FRONT

BACK

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Call 800-401-9771

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LASER PAYMENT COUPONSCompatible with cover S192A and envelope S194A.

SOFTWARE COMPATIBILITY:

SOFTWARE COMPATIBILTY INDEX:

• CS PracticeWorks

• CS SoftDent• OrthoTrac

• Orthoware• CS WinOMS

• Windent

Item Description Size Quantity/Box PriceS191A 3 To Page 81⁄2" x 11" 500 $30.54A

B

These Payment Coupon Systems have been proven to improve payment response times.

PAYMENT COUPON COVERCompatible with payment coupon S191A and envelope S194A.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Pkg PriceS192A Booklet Cover 83⁄4" x 37⁄8" 50 $18.90B

PAYMENT COUPON ENVELOPECompatible with payment coupon S191A and cover S192A.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceS194A Double Window 63⁄4" x 33⁄4" 500 $43.27C

LASER PAYMENT COUPONSCompatible with payment cover SW92A and envelope SW94A.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceSW91A 3 To Page 81⁄2" x 11" 1000 $49.00D

PAYMENT COUPON COVERCompatible with payment coupon SW91A.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Pkg PriceSW92A Booklet Cover 81⁄2" x 4" 126 $33.45E

COUPON ENVELOPECompatible with payment coupon SW91A and cover SW92A.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceSW94A Single Window 63⁄4" x 33⁄4" 500 $42.86F

Page 7: FORMS, LABELS & SUPPLIES

Fax 800-346-2998

Appointment Tickets, Cards

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APPOINTMENT TICKET WITHOUT LABELOriginally designed as a simulated theater ticket to “reserve your seat” forappointment reminders, these handy forms now include a bottom section for employers or school absence passes.

SOFTWARE COMPATIBILITY:

Also compatible with OPMS –Software.

SOFTWARE COMPATIBILTY INDEX:

• CS PracticeWorks

• CS SoftDent• OrthoTrac

• Orthoware• CS WinOMS

• Windent

Item Description Size Quantity PriceS154A 2 Per Page 81⁄2" x 51⁄2" 500 $22.05A

APPOINTMENT TICKET WITH LABELLabel can be applied to calendar appointment book as a reminder. Bottomsection can be used for school or work excuse notes.

SOFTWARE COMPATIBILITY:

Also compatible with OPMS Software.

Item Description Size Quantity/Box PriceS156A 2 Per Page 81⁄2" x 51⁄2" 500 $59.95B

LASER APPOINTMENT CARDSAppointment reminders set up to print on your laser printer.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceSW56A 3 Per Page 4" x 81⁄2" 2000 $64.00D

CUSTOM APPOINTMENT TICKETThese tickets can be designed to meet the needs of your practice. Create yourown appointment ticket. Call your representative today.

SOFTWARE COMPATIBILITY:

Also compatible with OPMS Software.

Item Description Size Quantity PriceCustom 2 Per Page 81⁄2" x 51⁄2" Call for details Call for detailsC

Guide to Successful Treatment1. Eating & Drinking:

a. Avoid the “Forbidden Hard Foods” – hard candy, corn chips, popcorn, jerky, ice, nuts, pizza crust, corn on the cob. b. Avoid the “Forbidden Soft Foods” – gum, sticky candy (Starbursts, Sugar Daddy, Tootsie Rolls, gummy bears, caramels, taffy, etc.). c. Avoid soda and drinks that contain sugar. d. Cook whole fruits and vegetables or cut into small pieces and eat carefully.

2. Brushing & Flossing: a. Use a soft bristle brush and brush after every meal and snack. b. Brush longer, not harder. Concentrate on the DANGER ZONE (space between the bands or brackets and the gums). c. Floss (using a floss threader) every night after brushing. d. Visit your regular dentist every six months for preventive cleanings and cavity inspection.

3. CALL THE OFFICE in advance if you have a loose or broken appliance so we can allow extra time to take care of your emergency.

4. When you complete treatment, continue to wear your retainers as directed. Remember, our retainer motto: “Nighttime for a lifetime.”

Guide to Successful Treatment1. Eating & Drinking:

a. Avoid the “Forbidden Hard Foods” – hard candy, corn chips, popcorn, jerky, ice, nuts, pizza crust, corn on the cob. b. Avoid the “Forbidden Soft Foods” – gum, sticky candy (Starbursts, Sugar Daddy, Tootsie Rolls, gummy bears, caramels, taffy, etc.). c. Avoid soda and drinks that contain sugar. d. Cook whole fruits and vegetables or cut into small pieces and eat carefully.

2. Brushing & Flossing: a. Use a soft bristle brush and brush after every meal and snack. b. Brush longer, not harder. Concentrate on the DANGER ZONE (space between the bands or brackets and the gums). c. Floss (using a floss threader) every night after brushing. d. Visit your regular dentist every six months for preventive cleanings and cavity inspection.

3. CALL THE OFFICE in advance if you have a loose or broken appliance so we can allow extra time to take care of your emergency.

4. When you complete treatment, continue to wear your retainers as directed. Remember, our retainer motto: “Nighttime for a lifetime.”

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enhancing smiles | enhancing lives

enhancing smiles | enhancing lives

www.bethlehemortho.com

Bethlehem Orthodontics701 W. Union Blvd., Suite 11

Bethlehem, PA 18018

Telephone610-865-2777

www.bethlehemortho.com

Bethlehem Orthodontics701 W. Union Blvd., Suite 11

Bethlehem, PA 18018

Telephone610-865-2777

WE CAN CUSTOMIZE YOUR APPOINTMENT TICKET!

CALL FOR DETAILS

Page 8: FORMS, LABELS & SUPPLIES

Call 800-401-9771

A

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LASER STATEMENTCompatible with envelope SW25A. Perfs at 3.5-inches.

SOFTWARE COMPATIBILITY:

SOFTWARE COMPATIBILTY INDEX:

• CS PracticeWorks

• CS SoftDent• OrthoTrac

• Orthoware• CS WinOMS

• Windent

Item Description Size Quantity/Pkg PriceSW29A Statement 81⁄2" x 11" 500 $27.31A

B

LASER STATEMENTCompatible with envelopes PO940, EN109, S12SA, S125A.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Pkg PriceS1290 With Credit Card Info 81⁄2" x 11" 500 $54.50

S1280 Without Credit Card Info 81⁄2" x 11" 500 $54.50

B

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LASER STATEMENTCompatible with envelopes PO940, SD02A, SD03A, EN109.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Pkg PriceSD040 Statement 81⁄2" x 11" 2000 $110.00E

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LASER STATEMENTCompatible with envelopes SW25A, S125A, S12SA.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Pkg PricePW29A Statement 81⁄2" x 11" 500 $27.31

LASER STATEMENTCompatible with envelopes PO940 and EN109. Has a perf at 3.5-inch from topto detach and return.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Pkg PricePW04BA Blue with Backer 81⁄2" x 11" 500 $27.82PW04GA Green with Backer 81⁄2" x 11" 500 $27.82

* Green not shown.

D

BLANK LASER STATEMENTCompatible with envelopes PO940. EN109. Each statement perfs at 3.5-inches.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Pkg PricePW03A White 81⁄2" x 11" 500 $17.33

PW03BA Blue 81⁄2" x 11" 500 $23.10

PW03GA Green 81⁄2" x 11" 500 $23.10

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BANKCARD PAYMENT AUTHORIZATION CHANGE OF ADDRESS REQUESTIf you wish to pay by creditcard please fill out all informa-tion and send back in ourreturn envelope. Thank You!Please charge to thefollowing credit card:

STREETADDRESS:

CITY:STATE:ZIP:PHONE:

E-MAIL:

WORK:HOME:CELL:

PLEASE CONTACT ME

CARD ACCOUNT NUMBER

EXPIRATION DATE

CARDHOLDER’S SIGNATURE

CARDHOLDER’S NAME (PLEASE PRINT)OTHER - IF ACCEPTED BY OFFICE

AMOUNT$

Security Code (Required)

WE ACCEPTPlease see back of form

Form Number PW04B

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Item Description Size Quantity/Box PriceWDSTMT Statement 81⁄2" x 11" 1000 $99.00I

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LASER STATEMENTCompatible with envelope WDSENV and reply envelope WDRENV.

SOFTWARE COMPATIBILITY:

Stat

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Page 9: FORMS, LABELS & SUPPLIES

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Envelopes

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SOFTWARE COMPATIBILTY INDEX:

• CS PracticeWorks

• CS SoftDent• OrthoTrac

• Orthoware• CS WinOMS

• Windent

Item Description Size Quantity/Box PriceS12SA White Wove 87⁄8" x 37⁄8" 500 $34.89A

DOUBLE WINDOW ENVELOPECompatible with CS SoftDent software with address service.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceSD02A White Wove 91⁄2" x 41⁄8" 500 $34.00SD03A Self Seal 91⁄2" x 41⁄8" 500 $35.00

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DOUBLE WINDOW ENVELOPE SELF-SEALCompatible with CS PracticeWorks, OrthoTrac & CS WinOMS.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceSW25A White Wove 87⁄8" x 37⁄8" 500 $71.45E

DOUBLE WINDOW STATEMENT ENVELOPECompatible with Orthoware software.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PricePO940 White Wove 85⁄8" x 35⁄8" 500 $55.25F

RETURN ENVELOPEFits into a #10 envelope. Compatible with all software.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceWDSENV Statement Envelope 87⁄8" x 37⁄8" 500 $47.00WDRENV Reply/Window 61⁄2" x 35⁄8" 500 $34.00

GH

STATEMENT & RETURN ENVELOPECompatible with statement WDSTMT.

SOFTWARE COMPATIBILITY:

Item Description Size Quantity/Box PriceEN109 Colors Available 91⁄2" x 41⁄8" 500 * $76.45

* Must order 1000 to be imprinted.C

SINGLE WINDOW PRE-STUFFED WITH REPLY ENVELOPE#10 Left window envelope pre-stuffed with a #9 reply envelope.

#10 Envelope available in white, gray or blue.

#9 Envelope available in white, gray, blue, green, pink, canary or ivory.

SOFTWARE COMPATIBILITY:

ADDRESS SERVICE REQUESTED

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Item Description Size Quantity/Box PriceS125A White Wove 87⁄8" x 37⁄8" 500 $33.00B

DOUBLE WINDOW STATEMENT ENVELOPECompatible with CS PracticeWorks, OrthoTrac & CS WinOMS.

SOFTWARE COMPATIBILITY:

Page 10: FORMS, LABELS & SUPPLIES

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Appo

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LASER POST CARDSFour-to-a-Page Appointment Reminder Cards. 1000 cards = 250 sheets.

SOFTWARE COMPATIBILITY:

SOFTWARE COMPATIBILTY INDEX:

• CS PracticeWorks

• CS SoftDent• OrthoTrac

• Orthoware• CS WinOMS

• Windent

Item Description Size Quantity PriceSee images 4-Up Post Cards 81⁄2" x 11" 250 $85.00

It’sTime fora Check

Up.

Just aReminderJJJJJJJJJJJJJJJJJJJJuuuuuussssssstttttttttttttttt aaaaaaaaaaaaaaa

RRRRRRRRRRRRRRRRReeeeeeeeeeemmmmmmmmmiiiiiiinnnnnnnnnddddddddddddddddddeeeeeeeeeeerrrrrrrrrrrrrrrrrrrrrrrr

PC08R8A “A Friendly Reminder”

VXPC107 “Tooth Brush Circle”

PC18R8A “Smile!” (Smiley face)

PC38LSA “Don’t Forget Your Appointment.”

PC24LSA “Time For Your Checkup”

PC30LSA “Smile”

PC23LS “Time To Swing By…”

PC13R8A “Most Valuable Resource”

VXPC106 “Dog with Tooth Brush”

PC37LSA “We Miss Your Smiling Face”

Page 11: FORMS, LABELS & SUPPLIES

Fax 800-346-2998

Appointment Rem

inder Post Cards

11

Don’t Forget YourAppointment

ConstructionZone

Smile UnderConstruction

VXPC100 “Tooth Flossing”

PC05RA “Take Care Of Your Smile”

PC27LSA “Just A Reminder…”

VXPC101 “Tooth Brush w Mint”

PC04 “An Ounce Of Prevention”

VXPC104 “Blue Sky”

VXPC108 “Raining Smiles”

VXPC102 “Beach Sunset”

VXPC105 “Red Brush”

PC01RA Blank White Postcards

PC02R “Brush On In!”

PC06R8A “…An Unlimited Resource”

VXPC103 “Construction Zone”

Page 12: FORMS, LABELS & SUPPLIES

Call 800-401-9771

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DYMO® COMPATIBLE PRINTER THERMAL LABELSCoated Direct Thermal Labels guaranteed to work in Dymo® LabelWriter®

printers. Glove-safe & smudge proof.

SOFTWARE COMPATIBILITY:

Dymo® and LabelWriter® are registered trademarks of DYMO®

SOFTWARE COMPATIBILTY INDEX:

• CS PracticeWorks

• CS SoftDent• OrthoTrac

• Orthoware• CS WinOMS

• Windent

ABCDEFGHI

AN700

AN702

(Scored to allow label to fit smaller vials if necessary.)

AN704

AN706

AN708

AN916

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DT1010

Slide Label

UN

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CTI

ON

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DT12125

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ALL LABELS HAVE INDEX HOLES TO WORKIN DYMO® PRINTERS

AN917

Ideal for Name Badge

Same asItem * Label/Size Color Dymo® Quantity/Roll PriceAN700 (P) 21⁄8" x 23⁄4" White 30257 Roll 500 $17.84AN702* (P) 13⁄4" x 23⁄4"* White – Roll 500 $17.84AN704 (P) 113⁄16" x 31⁄16" White – Roll 500 $17.84AN706 (P) 115⁄16" x 31⁄2" White – Roll 400 $14.19AN708 (P) 11⁄8" x 31⁄2" White 30252 2 Rolls of 350 $21.89DT1010 (P) 1" x 1" White 30332 Roll 750 $12.44DT12125 (P) 1" x 21⁄8" White 30336 Roll 500 $14.64AN916 (P) 9⁄16" x 37⁄16" White 30327 2 Rolls of 130 $8.24AN917 (P) 25⁄16" x 4" White 30256 Roll 400 $14.99

*scored at bottom to peel away to this size, original label size is 21⁄8" x 23⁄4" All rolls have 1-inch cores.

* (P) = Permanent

Page 13: FORMS, LABELS & SUPPLIES

Fax 800-346-2998

Insurance and Billing Labels

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INSURANCE AND BILLING LABELS

Item Description * Size Quantity/Roll PriceCR018 Fl. Yellow (P) 15⁄8" x 7⁄8" 500 Roll $16.59MC766 Fl. Yellow (P) 21⁄4" x 1" 420 Roll $16.59HC229 Fl. Pink (P) 21⁄4" x 7⁄8" 420 Roll $16.59CR201 Fl. Yellow (P) 21⁄4" x 7⁄8" 420 Roll $16.59HC513 Fl. Red (P) 15⁄8" x 7⁄8" 250 Roll $9.19CR269 Fl. Green (P) 21⁄4" x 7⁄8" 420 Roll $16.59CR703 Fl. Yellow (P) 21⁄4" x 7⁄8" 420 Roll $16.59CR063 Fl. Green (P) 15⁄8" x 7⁄8" 500 Roll $16.59MC799 Fl. Red (P) 3" x 7⁄8" 320 Roll $16.59CR029 Fl. Red (P) 15⁄8" x 7⁄8" 500 Roll $16.59HC343 Fl. Green (P) 21⁄4" x 7⁄8" 420 Roll $16.59MC122 Fl. Orange (P) 11⁄4" x 5⁄16" 760 Roll $16.59CR022 Fl. Green (P) 15⁄8" x 7⁄8" 500 Roll $16.59MC255 Fl. Pink (P) 15⁄8" x 7⁄8" 500 Roll $16.59MC796 Fl. Green (P) 3" x 7⁄8" 320 Roll $16.59CR260 Fl. Red (P) 21⁄4" x 7⁄8" 420 Roll $16.59MC795 Fl. Yellow (P) 3" x 7⁄8" 320 Roll $16.59HC512 Fl. Pink (P) 15⁄8" x 7⁄8" 250 Roll $9.19CR024 Fl. Green (P) 15⁄8" x 7⁄8" 500 Roll $16.59

* (P) = Permanent

ABCDEFGHI

JKLMNOPQRS

420/Roll Fl. Green (P)HC343 21⁄4” x 7⁄8”

760/Roll Fl. Orange (P)MC122 11⁄4” x 5⁄16”

500/Roll Fl. Green (P)CR022 15⁄8” x 7⁄8”

500/Roll Fl. Pink (P)MC255 15⁄8” x 7⁄8”

320/Roll Fl. Green (P)MC796 3” x 7⁄8”

420/Roll Fl. Red (P)CR260 21⁄4” x 7⁄8”

500/Roll Fl. Yellow (P)CR018 15⁄8” x 7⁄8”

420/Roll Fl. Yellow (P)MC766 21⁄4” x 1”

420/Roll Fl. Pink (P)HC229 21⁄4” x 7⁄8”

420/Roll Fl. Yellow (P)CR201 21⁄4” x 7⁄8”

250/Roll Fl. Red (P)HC513 15⁄8” x 7⁄8”

420/Roll Fl. Green (P)CR269 21⁄4” x 7⁄8”

420/Roll Fl. Yellow (P)CR703 21⁄4” x 7⁄8”

500/Roll Fl. Green (P)CR063 15⁄8” x 7⁄8”

320/Roll Fl. Red (P)MC799 3” x 7⁄8”

500/Roll Fl. Red (P)CR029 15⁄8” x 7⁄8”

320/Roll Fl. Yellow (P)MC795 3” x 7⁄8”

R

250/Roll Fl. Pink (P)HC512 15⁄8” x 7⁄8”

500/Roll Fl. Green (P)CR024 15⁄8” x 7⁄8”

DON’T SEE THE LABELYOU NEED? CALL US!

Page 14: FORMS, LABELS & SUPPLIES

Call 800-401-9771

Filin

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15/8" x 1" Permanent

UAL® Alpha Series, AF400

15/8" x 1" Permanent

UAL® Alpha Series, AF500

x 1" Permanent11/2"

UAL® Numeric Series

2UAL® AND TAB ®

1279 COMPATIBLE MONTH SERIES

x Permanent1" 1/2"

AF400A AF501A RedAF400B AF501B Lt. OrangeAF400C AF501C Dk. OrangeAF400D AF501D Lt. GreenAF400E AF501E Dk. GreenAF400F AF501F BlueAF400G AF501G PurpleAF400H AF501H LavendarAF400I AF501I PinkAF400J AF501J RedAF400K AF501K Lt. OrangeAF400L AF501L Dk. OrangeAF400M AF501M Lt. GreenAF400Mc AF501Mc BrownAF400N AF501N Dk. GreenAF400O AF501O Blue AF400P AF501P PurpleAF400Q AF501Q LavenderAF400R AF501R BrownAF400S AF501S PinkAF400T AF501T RedAF400U AF501U Lt. OrangeAF400V AF501V Dk. OrangeAF400W AF501W Dk. GreenAF400X AF501X Blue AF400Y AF501Y PurpleAF400Z AF501Z Lavender

ABCDEFGHIJKLMMcNOPQRSTUVWXYZ

Item 300/Roll 1000/Roll Color * Size 500/Roll 1000/RollJAN IF301 IF201 Dk. Green (P) 1⁄2" x 1" $12.69 $21.49FEB IF302 IF202 Dk. Blue (P) 1⁄2" x 1" $12.69 $21.49MAR IF303 IF203 Blue (P) 1⁄2" x 1" $12.69 $21.49APR IF304 IF204 Brown (P) 1⁄2" x 1" $12.69 $21.49MAY IF305 IF205 Black (P) 1⁄2" x 1" $12.69 $21.49JUN IF306 IF206 Gray (P) 1⁄2" x 1" $12.69 $21.49JUL IF307 IF207 Red (P) 1⁄2" x 1" $12.69 $21.49AUG IF308 IF208 Yellow (P) 1⁄2" x 1" $12.69 $21.49SEP IF309 IF209 Pink (P) 1⁄2" x 1" $12.69 $21.49OCT IF310 IF210 Lt. Orange (P) 1⁄2" x 1" $12.69 $21.49NOV IF311 IF211 Lavender (P) 1⁄2" x 1" $12.69 $21.49DEC IF312 IF212 Lt. Green (P) 1⁄2" x 1" $12.69 $21.49* (P) = Permanent

AF400 SERIES AF500 SERIESItem * Size 300/Roll 1000/Roll

AF400 Series Side Tab (P) 15⁄8" x 1" $7.09 $20.49AF501 Series Side & Top Tab (P) 15⁄8" x 1" $7.09 –

UAL MONTH SERIES

Item Color * Size Quantity/Roll PriceNF201 Red (P) 11⁄2" x 1" 1000 $20.49NF202 Lt. Orange (P) 11⁄2" x 1" 1000 $20.49NF203 Dk. Orange (P) 11⁄2" x 1" 1000 $20.49NF204 Lt. Green (P) 11⁄2" x 1" 1000 $20.49NF205 Dk. Green (P) 11⁄2" x 1" 1000 $20.49NF206 Blue (P) 11⁄2" x 1" 1000 $20.49NF207 Purple (P) 11⁄2" x 1" 1000 $20.49NF208 Lavendar (P) 11⁄2" x 1" 1000 $20.49NF209 Brown (P) 11⁄2" x 1" 1000 $20.49NF210 Pink (P) 11⁄2" x 1" 1000 $20.49

12345678910

UAL NUMERIC SERIES

ASK US ABOUT

OTHER FILINGSYSTEMS!

Page 15: FORMS, LABELS & SUPPLIES

Fax 800-346-2998

Character Stickers

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Scooby-Doo® — Action Sports MB2276

Finding Nemo® — Super Patient Club MB2153Spider Man® —Strong 'N Healthy MB2502

Dora the Explorer® — Star Patient MB2152

Handy Manny™ MB1364

Tinker Bell™ MB1351Spongebob® — Get Fit! MB2572

Pooh™ & Friends — Celebrating Adventure MB2579 Disney Princesses™ — New Classics MB1410

i Carly™ MB1366

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Toy Story™ — Action Sports MB1379

Disney Cars™ — Super Patient MB2586

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Item Description * Size Quantity/Roll PriceMB2276 Scooby-Doo® (R) 21⁄2" x 21⁄2" 90 $6.25

MB2152 Dora the Explorer® (R) 21⁄2" x 21⁄2" 90 $6.25

MB2502 Spider Man® (R) 21⁄2" x 21⁄2" 90 $6.25

MB2153 Finding Nemo® (R) 21⁄2" x 21⁄2" 90 $6.25

MB1379 Toy Story™ (R) 21⁄2" x 21⁄2" 90 $6.25

MB2586 Disney Cars™ (R) 21⁄2" x 21⁄2" 90 $6.25

MB2579 Pooh™ & Friends (R) 21⁄2" x 21⁄2" 90 $6.25

MB1410 Disney Princesses™ (R) 21⁄2" x 21⁄2" 90 $6.25

MB1364 Handy Manny™ (R) 21⁄2" x 21⁄2" 90 $6.25

MB2572 Spongebob® (R) 21⁄2" x 21⁄2" 90 $6.25

MB1351 Tinker Bell™ (R) 21⁄2" x 21⁄2" 90 $6.25

MB1366 i Carly™ (R) 21⁄2" x 21⁄2" 90 $6.25

* (R) = Removable

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CHARACTER STICKERS90 stickers per roll.

KIDS LOVE STICKERS!

Page 16: FORMS, LABELS & SUPPLIES

1800 Lakeway Dr., Suite 118Lewisville, TX 75057

Convenient Ways To OrderCall 1-800-401-9771Monday–Friday, 8am-7pm ESTFax [email protected]

MailAttn: Order Processing Department1800 Lakeway Dr., Ste. 118Lewisville, TX 75057

DON’T SEE WHAT YOU NEED?Call today and see why RR Donnelley is the solution for all your print needs.

GLOBAL PRODUCTS AND SERVICESbooks . business communication services . business process outsourcing . catalogs

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Corporate Headquarters111 South Wacker DriveChicago, IL 60606-4301

U.S.A.www.rrdonnelley.com

We can create, design, and print what you need!

Copyright © 2012 R. R. Donnelley & Sons CompanyAll rights reserved.

08.2012