Graftek Communications                Tel:800-848-2992

          Personalized and blank CMS 1500 Claim Forms

          Florida Court Motion Order Forms

 

Personalizing your CMS 1500 Claim Forms

FREE SAMPLE of your personalized claim form BEFORE you order

There is NO RISK when you order personalized CMS 1500 Claim Forms from Graftek because we provide you a sample proof of what your claim will look like before you commit to ordering! If you don't like the sample, you can say you don't want to proceed at no cost or obligation. You can also change it as often as you like before we print at no additional charge. We will not print until you are satisfied with your claim form.

Include as much information you want - including your signature - at one all inclusive price

We're different from other CMS 1500 claim form printers in that we will print your signature, procedure codes - ANYTHING ANYWHERE - on your claim form at an all inclusive low price. The only additional charge is shipping (and sales tax if you reside in Florida.

1 part personalized CMS 1500 claim form version 02/12 (or 08/05)
Price includes all setup and proofs but excludes shipping and sales tax if you are a Florida resident. Printed on high quality white bond.

500 - $55
1000 - $83
2000 - $139

2 copy personalized carbonless CMS 1500 claim form (original and 1 copy) version 02/12 (or 08/05)
Price includes all setup and proofs but excludes shipping and sales tax if you are a Florida resident. Printed on heavyweight carbonless (no carbon) paper. Top original is white and copy underneath is yellow.

250 - $73
500 - $103
1000 - $171

 

It's EASY to get started

You can either:

Call us at 800-848-2992 Monday through Friday 9 AM to 6 PM EST. We'll take your imprint information down over the phone - or -

Fax us a hand written sample to 800-235-7954. Please include your phone number and we'll call you back

Email us a sample or the imprint information to info@graftekommunications.com

Take a cellphone picture and call us at 800-848-2992 and we will give you a cel number to text the picture

Go to our online store www.The GraftekStore.com. Go to the "Contact us" form in the store and include the imprint information in the message portion of the box.