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Forms & Templates

You can design your own Superbill, also known as Encounter form in Microsoft Word or Open Office and print them from CollaborateMD! You can design your form in the editor of your choice and save it as a Word 2003 XML Document. Once the Superbill is saved, upload it to the Superbills tab within the Admin section under the Configuration tab. The Superbill can then be printed from the Patient, Claim, Scheduler, or Batch Printing sections of the application.

When printing the form all of the "@" variables will be replaced by the appropriate values related to the patient. Below are some templates to get you started. Using CollaborateMD Superbills templates will provide you with the necessary tools to be successful and fully utilize the features and functionalities offered by CollaborateMD.

For instructions on how to configure Superbills click here

The material on this web site has been prepared by CollaborateMD. The material is for informational purposes only and does not constitute legal advice. The material is not guaranteed to be correct, complete, or up to date. Your receipt of the information on this website is not intended to create, and receipt does not constitute, a contract for representation by CollaborateMD. This information is not intended to substitute for obtaining legal advice from an attorney. No person should act or rely on any information in this site without seeking the advice of an attorney.

IMPORTANT: Superbill Templates must be opened with Internet Explorer or Firefox due to a recent update made by Chrome. Please check back for updates.


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Use this form to capture patient demographics to enter into CollaborateMD. Important: Remember to edit the header with your companies logo (if applicable) and companies address.   32k v. 2 Apr 23, 2014, 8:18 AM Angelique Belot
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  383k v. 2 Sep 12, 2016, 8:08 PM Angelique Belot
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  371k v. 2 Sep 12, 2016, 8:08 PM Angelique Belot
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  459k v. 2 Sep 12, 2016, 8:08 PM Angelique Belot
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  447k v. 2 Sep 12, 2016, 8:08 PM Angelique Belot
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  559k v. 2 Sep 12, 2016, 8:08 PM Angelique Belot
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  542k v. 2 Sep 12, 2016, 8:49 PM Angelique Belot
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  450k v. 2 Sep 12, 2016, 8:08 PM Angelique Belot
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  443k v. 2 Sep 12, 2016, 8:08 PM Angelique Belot
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  888k v. 2 Jul 28, 2017, 12:56 PM Tasha lesher
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  91k v. 2 Sep 12, 2016, 8:00 PM Angelique Belot
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  100k v. 2 Sep 12, 2016, 8:00 PM Angelique Belot
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  99k v. 2 Sep 12, 2016, 8:00 PM Angelique Belot
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  78k v. 2 Sep 12, 2016, 8:00 PM Angelique Belot
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  82k v. 2 Jul 28, 2017, 1:10 PM Tasha lesher
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  311k v. 2 May 9, 2014, 8:15 AM Angelique Belot
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This form only contains the back side of the 2-sided superbill form for family practices. You can use these as pre-printed forms so you will only need to print the front of the form.   277k v. 2 May 9, 2014, 8:15 AM Angelique Belot
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This form only contains the front side of the 2-sided superbill form for family practices.   560k v. 2 May 9, 2014, 8:15 AM Angelique Belot
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This form only contains the header that can be found on the 2-sided superbill form. This can be used to print the header on pre-printed superbills that do not contain the header.   31k v. 2 May 9, 2014, 8:15 AM Angelique Belot
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A 2-sided superbill form for a family practice. This family practice form does not contain a header. You can keep this as pre-printed forms and utilize them when needing to print the header for a patient.   780k v. 2 May 9, 2014, 8:15 AM Angelique Belot
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A 2-sided superbill form for a family practice. This family practice form contains a header.   868k v. 2 May 9, 2014, 8:15 AM Angelique Belot
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Use this single-sided form as an agreement for patients to sign when agreeing to payment plan terms.   82k v. 2 Jul 28, 2017, 1:06 PM Tasha lesher
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This document will provide you with all of the necessary variables to fill out your superbill.   Sep 12, 2016, 7:48 PM Angelique Belot