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Patient Sign-In Label Forms, Two-Part Carbon, 8.5 X 11.63, Green, 1/Page, 125 Forms
SKU: TAB14532
Office Supplies
Forms, Recordkeeping & Reference Materials
Forms
TAB14532
Patient Sign-In Label Forms, Two-Part Carbon, 8.5 X 11.63, Green, 1/Page, 125 Forms
SKU
: TAB14532
•
Catalog SKU
: TAB-14532
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
$85.59
/PK
136
In stock
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$85.59
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
Print and Ruling Color(s)
Black
Form Quantity
125
Numbering
Preprinted Entry Lines
Quantity
125 per pack
Number of Columns
6
Sheet Size
8 1/2 x 11 5/8
Copy Types
Carbonless Duplicate
Forms Per Page
1
Total Recycled Content Percent
0%
Layout
One Form per Sheet
Total Number of Entries per Book
2875
Form Size
8 1/2 x 11 5/8
Global Product Type
Forms-Attendance
Principal Heading(s)
Date, Please Print Name, Arrival Time, Appt. Time, Appointment With, New Patient, Any Changes Since Last Visit
Finish
Label Stock
Number of Entry Lines
23
Paper Color(s)
Green
Numbering Color(s)
Black
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Copy Types
Carbon Duplicate
Shipping Restrictions