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ADA 2002 & 2007 Insurance Claim Form Signature Release Label

Item#: Size:
Quantity 1 2 3 4 5
ADALBL  Not Imprinted $63.99 $105.99 $132.99 $152.99 $298.99
We recommend this quantity.
1.  Quantity
 

Product Benefits and Features

Avoid claims processing delays! Get your patient's signature on these self-adhesive labels, then affix them to forms as needed.

  • Quantity: 100 labels per package.
  • Please note: For use with 2002 and 2007 ADA versions.