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HCFA FORMS

Laser
One-Part Continuous
Two-Part Continuous
 

HCFA ENVELOPES

Std Gum Plain (RW)
Std Gum Imprinted (RW)
Std Self Seal Plain (RW)
Std Self Seal Imprinted (RW)
 

PATIENT SIGN IN SHEETS

1,2,4 packs of 125 each - buy now>
 

If you don't see what you are looking for, please call us. A selection of additional HCFA products and envelopes are available.
 
Item Details
HCFA Std. Env., Self Seal Plain, Right Window
Item Name:
HCFA Std. Env., Self Seal Plain, Right Window
Item #:
WHCF-10-ENV-SS-PL
Price/ea:
Price By Quantity

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HCFA ENVELOPES: Standard Self Seal Plain (WHCF-10-ENV-SS- PL) Case of 500, 1,000, 2,500

  • HCFA Claim Submission Envelopes are specifically designed for compatibility with HCFA-1500 Forms
  • Name and address of folded claim form show through right window position
  • Safety blue inside tint for added privacy
  • Self-Seal adhesive for convenience and security
  • Return address is not printed on this version
  • Size: 4 1/8” x 9 ½” standard #10
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