Now in one streamlined step, view our AlphaHealthCare and Practiceworks products and place your order online! Fast and easy!
Browse through our forms and envelopes, make your selections, then complete the section at the bottom telling us who you are. We'll send you an acknowledgement before filling your order so you can confirm we've got it right.
your name
your email address
dentist / practice name
Your information is private. It is never shared with any third party, nor will we send you unsolicited email advertisements. We hate receiving spam as much as you and don't feel this is an effective way to solicit business, so we don't do it.
your phone
your fax
how would you like to receive your order acknowledgement?
special instructions
statements
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AlphaHealthCare
statements
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PracticeWorks
statements
Do you need statements?
For which software?
How many statements?
window envelopes for statements
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AlphaHealthCare
statement envelope
Do you need window envelopes?
Imprinted #9 window envelopes include your return address is printed in black ink. These envelopes are available with self-sealing latex... simply press to close, no licking! Select your quantity and options in the drop-down menu to the right.
return envelopes
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return envelope
How many return envelopes?
#6¾ return envelopes fit easily inside your statement envelopes and are sized to hold a personal check. They are preprinted with your address and barcoded to U.S. Postal Service specifications. We can prestuff your return envelopes in your statement envelopes. Select your quantity and options in the drop-down menu to the right.
insurance forms
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insurance form
Our 2002-version dental insurance form meets ADA specifications and is custom designed to precisely match your AlphaHealthCare Focus output.
How many 2002 dental insurance forms?
signature-on-file labels for insurance forms
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signature-on-file label
Fits precisely over boxes 36 & 37 of our 2002 insurance form, and are printed in red to integrate smoothly with the form.
How many signature-on-file labels?
tell us who you are
Please provide complete and accurate information to avoid delays in processing your order.
how would you like to pay for this order?
* Customers with established accounts only
** For your security, we do not accept online credit card payments. We will fax you a charge authorization to complete and fax back.
***C.O.D. orders require that you provide a money order (no checks) for the full amount to the UPS driver upon delivery.
