8½” x 11″ statement form for monthly patient statements, attorney statements and individual itemized statements. Available in single-sheet for laser and inkjet printers and continuous feed for dot-matrix printers.

| Item No. | Description | No. of forms | 1 box | 2-4 boxes | 5 or more boxes |
|---|---|---|---|---|---|
| PSL | Single sheet for laser and ink jet printers. | 1000 | $49.95 each | $47.95 each | $45.95 each |

