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Patient Sign-In Label Forms, Two-Part Carbon, 8.5 X 11.63, Salmon, 1/Page, 125 Forms
SKU: TAB14530
Office Supplies
Forms, Recordkeeping & Reference Materials
Forms
TAB14530
Patient Sign-In Label Forms, Two-Part Carbon, 8.5 X 11.63, Salmon, 1/Page, 125 Forms
SKU
: TAB14530
•
Catalog SKU
: TAB-14530
Paper Color(s)
Blue
Green
Salmon
DETAILS
Forms limit access to personal information as required by HIPAA. Once label strip is removed the patient information is now protected behind special backing paper. Can be used as confidential daily patient log as well as sign-in sheet.
Click For More Details
$64.79
/PK
128
In stock
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$64.79
Qty
Your purchase will provide
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DESCRIPTION
Confidentially sign in your patients. Forms limit access to personal information as required by HIPAA. Patient signs in and waits to be called by name or number. Office staff removes numbered label strip with patient name and adheres it to patient chart to help improve record keeping. Once label strips have been removed, the patient information is now protected behind special backing paper. The sign-in form also provides confidential daily patient log. Forms numbered 1 - 23.
SPECIFICATIONS
Number of Sheets
125
Manufacturer
TABBIES
Manufacturer Part Number
14530
Packaged Quantity
125 / Pack
Product Type
Patient Sign-in Form
Assembly Required
No
Product Name
Patient Sign-In Label Forms
Recycled
No
Manufacturer Website Address
http://www.tabbies.com
Brand Name
TABBIES
Country of Origin
United States of America
Color(s)
Salmon
Number of Lines per Sheet
23
Post-Consumer Recycled Content Percent
0%
Copy Types
Carbonless Duplicate
Forms Per Page
1
Print and Ruling Color(s)
Black
Form Quantity
125
Numbering
Preprinted Entry Lines
Pre-Consumer Recycled Content Percent
0%
Form Size
8 1/2 x 11 5/8
Layout
One Form per Sheet
Total Recycled Content Percent
0%
Finish
Label Stock
Number of Entry Lines
23
Total Number of Entries per Book
2875
Numbering Color(s)
Black
Sheet Size
8 1/2 x 11 5/8
Number of Columns
6
Paper Color(s)
Salmon
Copy Types
Carbon Duplicate
Shipping Restrictions