Health Forms and Systems, Inc.
Nations Leading Supplier of
Medical Forms and Filing Supplies

Nationwide Delivery In
Approximately 2-3 business Days

 

Ten Regional Warehouses for Nationwide Delivery
(No Alaska or Hawaii)

Coldwater, Ohio
Tulare, California
Lithia Springs, Georgia
Miami, Florida
Philadelphia, Pennsylvania
Roselle, IL
Reno, NV
Charlotte, NC
Benton, AR
Minneapolis, MN
Dallas, Texas

 

Toll-Free 800-869-6590          Order Online          Toll-Free 800-869-6590          Order Online
 
NEW CMS 1500 SELF-SEAL ENVELOPES    Click Here
  • Self-Seal
  • Return Address Imprinted
  • Security Tint


CMS 1500 Laser (2500)
Per Case $25.75 ($10.30 per M)
Click Here

20+ Boxes - 50% Off Shipping on CMS Forms*
*excludes $48 UPS surcharge for inside delivery
Call Customer Service for Volume Shipping Discounts!

Click Here to View Our E-Sample Kit

NEW CMS 1500 Special Bundle Package

Includes:

  • Free Shipping! Free Shipping!
  • 1000 CMS 1500 Laser Forms
  • 500 Large CMS 1500 Envelopes
  • $99.00 per Bundle!

Click Here to Order

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Order by Phone
Order Toll-Free:
(800) 869-6590
Toll-Free Fax:
(800) 307-8606

Ten Regional Warehouses for Nationwide Delivery
(No Alaska or Hawaii)

Coldwater, Ohio
Tulare, California
Lithia Springs, Georgia
Miami, Florida
Philadelphia, Pennsylvania
Roselle, IL
Reno, NV
Charlotte, NC
Benton, AR
Minneapolis, MN

Call (800) 869-6590 for availability and pricing
TAMPER-RESISTANT PRESCRIPTION PADS FOR MEDICAID

Health Forms Tamper-Resistant Prescription Pads and Laser Rx Stock

Introducing Health Forms tamper-Resitant Prescription Pads with seven security features, including the highly secure thermochromic ink. Health Forms goes far beyond the requirements of the Center of Medicare and Medicaid mandated security features required for Medicaid RX’s for October 2008.

In addition to the federal regulations, Health Forms exceeds the requirements of the following states as well:
CA, FL, IN, KY, ME, WV, and WY.

  • Free Shipping!
  • Competitive Delivery —
    5-7 business days after order approval plus shipping time
  • Competitive Pricing
  • Competitive Order Quantities —
    MIN 12 PAD ORDERS ACCEPTED!
  • 1 part and 2 part prescription pads
  • Laser RX Stock also available
  • Convenient pocket-sized pads
    4-1/4”w x 5-1/2”h (Vertical),
    5-1/2”w x 4-1/4”h (Horizontal)
  • Competitive Product —
    Includes multiple security features:
    • *Rx red thermochromic ink easily identi¬fies original; fades with heat
    • *Preprinted Prescriber information
    • *Blue or green background
    • *Watermark on back
    • *Void Pantograph on front
    • *Chemical protection paper
    • *Microprint in border
We accept MasterCard, VISA, American Express, Discover, eCHECK and PayPal

Toll-free phone: (800) 869-6590
Toll-Free Fax: (800) 307-8606

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