This perfect abbreviated superbill is efficient and easy to read for a fee for service medical house call practice. This abbreviated superbill contains your personalized medical practice information at the top right hand side. Fields include a line for patients name, social security number, date of birth, diagnosis, date of service, doctors UPIN number. Service entries include New/Established patient visit, injections/medications, laboratory, pulmonary, IV infusion, cardiology, procedures and other services.

This simple 1 page signature authorization waiver allows the medical provider full access for release for release of medical information as well as payment of medical benefits directly to the physician. This authorization is written in compliance with the Federal Health Insurance Portability and Accountability Act (HIPAA) laws in mind. There is a one time set up fee of $5 to customize the form with your personal information, if you have previously ordered simply check the option below for "I have previously ordered this form".

This complete biopsy form includes all the step-by-step pre- and post- surgical biopsy procedure steps in a template. Includes both shave biopsy and punch biopsy note in a “fill in the blank” format. This form is customized with your practice information. There is a one time set up fee of $5 to customize the form with your personal information, if you have previously ordered simply check the option below for "I have previously ordered this form".

Stop!! Do not render a diagnostic or therapeutic procedure without a consent form signed and witnessed. This handy consent form will suffice before rendering a diagnostic and/or therapeutic procedure. Fields include Patients Name, Date, Social Security Number and consent disclaimer as well as signature lines for patient, witness and person authorized to consent for patient. There is a one time set up fee of $5 to customize the form with your personal information, if you have previously ordered simply check the option below for "I have previously ordered this form".

Keep track of your patient’s coumadin/warfarin levels. This easy to reference form contains fields for date, date of lab/reading, current dose, dosage adjustments, special instructions, follow-up INR date and patient informed date. This is the perfect form for family practitioner’s, general practitioner’s, coumadin clinics, cardiologist, internist, vascular and cardiovascular specialist. There is a one time set up fee of $5 to customize the form with your personal information, if you have previously ordered simply check the option below for "I have previously ordered this form".

This 2 page dermatology progress note provides a dermatologist, family practitioner and/or a general practitioner with a complete focused dermatological exam of upper and lower body skin disorders. The dermatology progress note has an entire body schematic and consist of over 65 dermatological diagnosis’ that can be checked off for a fast, easy and efficient exam.

Don’t have your patient leave your office empty handed! Send your patient home with the discharge instruction release form. This form is a detailed instruction form for a plan of care, fields included are advice based on specific ailments including respiratory infection, urinary tract infection, general instructions, follow up care as well as work and/or school status. There is a one time set up fee of $5 to customize the form with your personal information, if you have previously ordered simply check the option below for "I have previously ordered this form".

Fax cover sheet- functions as a fax cover sheet for outgoing faxes. Fields include a To, From, Fax #, Date, Re (regarding), Pages, CC (Carbon Copy) and boxes to check off urgent, for review, please comment, please reply and please recycle. This form is personalized with your medical practice information. There is a one time set up fee of $5 to customize the form with your personal information, if you have previously ordered simply check the option below for "I have previously ordered this form".