3000 S. Ridgeland Avenue

Berwyn, IL 60402

800-323-9268

fax: 708-749-0171

prco@physiciansrecord.com

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Solution Graphics

 

 

               Order Form

 

 

 

 

 Enter account number & po number on PayPal's payment review page under "add special instruction to merchant"

 

 
Delivery Room Register
Other Logbooks
 
 
Emergency Room Register
Other Logbooks
 
O.R. Logbooks
Other Logbooks

 
 
Health Insurance Claim Form
Other Logbooks
 
 
UB-04 (CMS-1450) Universal Billing Form
Physicians' Telephone Orders
 
 
C-301 Filing Envelopes
D-406 Lab Reports
 
 
D-625 Physician's Orders
Valuables Envelopes
 
 
Chart Dividers
Colored Border Laser Paper - 500 per pkg
 
   
Colored Border Laser Paper - 500 per pkg
 

No returns after 30 days

Must call for Return Authorization (1-800-323-9268 ext: 39)

15 % restocking charge on authorized returns - 25 % on unauthorized

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