Keane Care Client Services

MDS/PPS, Long-Term Care Resident Accounting, Long-Term Care Clinicals, Long-Term Care Financials

KEANE CARE CLIENT SERVICES

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ORDER DESK HOME

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CHECK STOCK

CLINICAL FORMS

ACCOUNTING FORMS BILLING STOCK
PRINTING PAPER

YEAR-END W2 AND 1099 FORMS

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Keane Care Client Services
ONLINE ORDER DESK

Order Accounting Forms

BILLING STOCK

Description	Quantity Per Box	Boxes Ordered	Price Per Box
VC002 - 2-part 8½ x 5½ (Private)	3,700		$128.00
VC003 - 3-part 8½ x 5½ (Private)	2,300		$125.00
MS011 - UB92 Forms, 3-part	500		$64.00

PAYROLL FORMS

Description	Quantity Per Box	Boxes Ordered	Price Per Box
PR006 - State Quarterly Payroll Form (except for the State of California)	50		$20.00
PR006 - State Quarterly Payroll Form (except for the State of California)	100		$38.00
PR006 - State Quarterly Payroll Form (except for the State of California)	150		$50.00
PR006 - State Quarterly Payroll Form (except for the State of California)	200		$60.00
PR006 - State Quarterly Payroll Form (except for the State of California)	500		$120.00

PINFED PRINTER PAPER STOCK

Customer Information
Contact Person:	REQUIRED
Shipping Preference:
Purchase Order Number:
Keane Care Site Number:	REQUIRED
Facility Name:
Facility Address:
City:
State:
Zip Code:
Email Address: (check email twice)	REQUIRED
Phone Number:	REQUIRED
Comments:

Questions?
Call 1-800-426-2675 or e-mail order-desk@keanecare.com. All prices are subject to change without notice and are F.O.B Redmond, Washington.

CONTACT US

Keane Care, Inc.

Part of the Healthcare Solutions Division of Keane, Inc.

8383 158th Ave NE, Suite 100 • Redmond, WA 98052-3899

1-800-426-2675

For further information, contact info.ltc@keane.com

Copyright © 2008 Keane Care, Inc. All rights reserved.

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