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Laser ADA Claim Forms - Pack of 2500

Medical Claim Forms


American Dental Association (ADA) 2019 Medical Claim Forms for laser or inkjet printers, is fully updated with the latest form revisions. The forms are 100% compliant and printed to exact specifications for layout, paper, ink.



Forms sold in cartons of 2,500

Due to COVID-19 safety protocols, shipping times for this product may be delayed.
We appreciate your understanding as we work to fill orders as quickly as possible.

SKU: L0191
  • *
$67.95
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  • Printed in a laser format designed for use with most laser or inkjet printers
  • Form measurements: 8.5 X 11
  • Printed using black ink
  • Printed on Sustainable Foresty Initiative (SFI) paper
  • For use with ADA Envelopes - blank
  • Old item #- L0236
  • Printed in a laser format designed for use with most laser or inkjet printers
  • Form measurements: 8.5 X 11
  • Printed using black ink
  • Printed on Sustainable Foresty Initiative (SFI) paper
  • For use with ADA Envelopes - blank
  • Old item #- L0236
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