Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms Total
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Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms Total - Image 5
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Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms Total

$83.00

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  • 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.

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    SKU: TAB14532 Categories: , ,

    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.

    Product Details** Global Product Type Medical Admission Forms Form Type Details Medical Admission Dated No Forms Per Page 1 Format Indicator Unbound Copy Types Two-Part Carbon Color Family Green Form Size 8.5 x 11.63 Sheet Size 8.5 x 11.63 Form Quantity (Total) 125 Principal Heading(s) Date,Please Print Name,Arrival Time,Appt. Time,Appointment With,New Patient,Any Changes Since Last Visit Columns per Sheet 6 Number of Entry Lines 23 Paper Color(s) Green Print and Ruling Color(s) Black Numbering Color(s) Black Product Biodegradability Indicator N Product Biodegradability in Days 0 Product Compostability Indicator N Pre-Consumer Recycled Content Percent 0% Post-Consumer Recycled Content Percent 0% Total Recycled Content Percent 0% Special Features Green Sheets Country Of Origin US Carton Weight 33 lbs. Carton Pack Quantity 6 PK Pack Quantity 125 EA UPC 084371145324 UNSPSC 14111806 Shipping Weight & Item Dimensions Weight 4.95 lbs. Length 11.625 in Height 1.75 in Width 8.5 in

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    Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms TotalPatient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms Total
    $83.00
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