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You are here: Home > MEDICAL > Medical Forms > Encounter Forms / Superbills
Patient Encounter/Superbills Forms

A professionally-designed encounter form is one of the most important communication tools a Medical Practice can use to reduce data entry and coding errors. Custom printed encounter forms are cost-effective and help to produce a streamline patient billing process. Pre-printed encounter forms are up to 70% more cost effective when compared to an encounter form printed on blank paper.

Let ACS custom print your Custom Encounter/Super-bills Forms

Custom Encounter/Super-bills Forms

A professionally-designed encounter form is one of the most important communication tools a Medical Practice can use to reduce data entry and coding errors. Custom printed encounter forms are cost-effective and help to produce a streamline patient billing process. Pre-printed encounter forms are up to 70% more cost effective when compared to an encounter form printed on blank paper.

Available in Laser Cut Sheet - Snap Apart ( Carbon-less ) and Continuous ( Pin-feed )
We design encounter forms that not only look good, but are efficient and accurate and our volume-manufacturing
combinations ensure the lowest possible costs.


Use Your Existing Design, or Create a New Personalized Form to Meet Your Facilities Needs. Let us help you create your form. Choose Your Ink Color, we can match your current ink color.

Encounter Form Tips

* Making use of both the front and the back of the form allows extensive listing of codes.
* Initiate follow-up scheduling with a return appointment area.
* Use color and graphic effects to enhance your professional image.
* Print with colors other than black or blue to clearly identify your manual entries on the form using a black or blue pen.
* Schedule follow-up appointments with a return appointment area.
* If you accept credit cards for payment, leave an area on the form to gather account information
*
Track encounters and prevent un-billed services by numbering

Laser Sheet
  • ACS can match your existing ink colors
  • Available in 1part
  • numbering
  • Back copy
  • 8-1-2" x 11"
  • Artwork provided from customer (usable email format, camera ready, or negative)
  • Delivery - 7 days after returned approved proof.
Carbon-less Snap Apart Sets
  • ACS can match your existing ink colors
  • Available in 1-6 parts
  • numbering
  • Back copy
  • 8-1-2" x 11"
  • Artwork provided from customer (usable email format, camera ready, or negative)
  • Delivery - 7 days after returned approved proof.
Carbon-less Pin-Feed Forms
  • ACS can match your existing ink colors
  • Available in 1-6 parts
  • numbering
  • Back copy
  • 9-1-2" x 11"
  • Artwork provided from customer (usable email format, camera ready, or negative)
  • Delivery - 7 days after returned approved proof.
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Custom Encounter Forms Custom Encounter Forms Patient Encounter Form
List Price: $165.00
Your Price: $145.00
You save $20.00!
Setup Cost: $0.00
Encounter Forms / Superbills Encounter Forms / Superbills Patient Encounter / Superbill Form
Custom Encounter Forms / Superbills Custom Print / 9-1/2" x 11" Continuous Pin-Feed / 1 Part
FREE SHIPPING / Snap Apart Form / 3 Parts / Add Your Facility Name & Address / 8 1/2 x 5 1/2"  / 500 per pack