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Attending Dentist's Statements
authorized by the ADA
2006 Series
2601 2601 2601
ITEM
NUMBER		 FORMS/PACK DESCRIPTION
2600 2500 LASER CUT SHEET
26001 1000 LASER CUT SHEET
2601 2500 1-PART CONTINUOUS
26011 1000 1-PART CONTINUOUS
2602 1000 2-PART CONTINUOUS
  Use 2003ES Self-Seal Envelopes with this form.
2004 Series
(same as 2002)
2401 2401 2401
ITEM
NUMBER		 FORMS/PACK DESCRIPTION
2400 2500 LASER CUT SHEET
24001 1000 LASER CUT SHEET
2401 2500 1-PART CONTINUOUS
24011 1000 1-PART CONTINUOUS
2402 1000 2-PART CONTINUOUS
  Use 2003ES Self-Seal Envelopes with this form.
2000 Series
2001 2001 2001
ITEM
NUMBER		 FORMS/PACK DESCRIPTION
2000 2500 LASER CUT SHEET
20001 1000 LASER CUT SHEET
2001 2500 1-PART CONTINUOUS
20011 1000 1-PART CONTINUOUS
2002 1000 2-PART CONTINUOUS
2002S 1000 2-PART SNAP-APART
  Use 2000ES Self-Seal Envelopes with this form.
1994 Series
1941 1941 1941
ITEM
NUMBER		 FORMS/PACK DESCRIPTION
1940 2500 LASER CUT SHEET
19401 1000 LASER CUT SHEET
1941 2500 1-PART CONTINUOUS
19411 1000 1-PART CONTINUOUS
1942 1000 2-PART CONTINUOUS
1942S 1000 2-PART SNAP-APART
  Use 1994ES Self-Seal Envelopes with this form.
1990 Series
901 901 901
ITEM
NUMBER		 FORMS/PACK DESCRIPTION
900 2500 LASER CUT SHEET
9001 1000 LASER CUT SHEET
901 2500 1-PART CONTINUOUS
9011 1000 1-PART CONTINUOUS
902 1000 2-PART CONTINUOUS
  Use 1994ES Self-Seal Envelopes with this form.
1987 Series
871 871 871
ITEM
NUMBER		 FORMS/PACK DESCRIPTION
870 2500 LASER CUT SHEET
8701 1000 LASER CUT SHEET
871 2500 1-PART CONTINUOUS
8711 1000 1-PART CONTINUOUS
872 1000 2-PART CONTINUOUS
  Use 1994ES Self-Seal Envelopes with this form.
1985 Series
1851 1851 1851
ITEM
NUMBER		 FORMS/PACK DESCRIPTION
1850 2500 LASER CUT SHEET
18501 1000 LASER CUT SHEET
1851 2500 1-PART CONTINUOUS
18511 1000 1-PART CONTINUOUS
1852 1000 2-PART CONTINUOUS
B1852 1000 2-PART CONT LABEL
  Use 1994ES Self-Seal Envelopes with this form.
The American Dental Association (ADA) has authorized a number of different claim/attending dentist's forms over the years. We inventory those versions that are supported by the greatest number of dental software packages. We have been officially licensed by the ADA to produce the following versions:
  • 2006
  • 2004
  • 2000
  • 1994
  • 1990
  • 1987
  • 1985
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