Simplified Claim Form Signature Release Labels

Item#: 20472 Size: 8 1/4 x 5/8"
Quantity 1 2 3 4 5
20472  Not Imprinted $68.99 $114.99 $143.99 $165.99 $192.99
We recommend this quantity.
 

Product Benefits and Features

Signature release labels can easily be applied to patient insurance forms to avoid claims processing delays.

  • Handy! Get a patient signature on self-adhesive labels, then affix to insurance forms as you need them. Labels include HIAA wording.
  • Compatibility: For use with Simplified Claim Forms - Item #4049.