ADA 2002 & 2007 Insurance Claim Form Signature Release Label

Item#: ADALBL Size: 4 x 1 5/8"
Quantity 1 2 3 4 5
ADALBL  Not Imprinted $75.99 $126.99 $158.99 $182.99 $355.99
We recommend this 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.