When x-rays are requested, all you need to do is fill in the blanks on our easy to use 5 1/4" x 4 1/2" three (3) part form. Write it once and you have a completed: 1. Mailing label 2. Log and release form 3. Follow-up post card* Just one step duplicates a form for mailing, logging and retrieval of x-rays. For patient privacy, order our four (4) part form. In addition to the same three parts, this loaner form has an additional cover sheet without personal patient information.

Catalog > X-Ray > X-Ray Loaner Forms

X-RAY LOANER 3-PART FORM - QTY 250 250 imprinted 3-part loaner forms for mailing, logging and retrieval of x-rays Price: $ 105.00   Buy Now     X-RAY LOANER 3-PART FORM - QTY 500 500 imprinted 3-part loaner forms for mailing, logging and retrieval of x-rays Price: $ 145.00   Buy Now     X-RAY LOANER 3-PART FORM - QTY 1000 1000 imprinted 3-part loaner forms for mailing, logging and retrieval of x-rays Price: $ 195.00   Buy Now     X-RAY LOANER 4-PART FORM - QTY 250 250 imprinted 4-part loaner forms for mailing, logging and retrieval of x-rays Price: $ 105.00   Buy Now     X-RAY LOANER 4-PART FORM - QTY 500 500 imprinted 4-part loaner forms for mailing, logging and retrieval of x-rays Price: $ 145.00   Buy Now     X-RAY LOANER 4-PART FORM - QTY 1000 1000 imprinted 4-part loaner forms for mailing, logging and retrieval of x-rays Price: $ 195.00   Buy Now