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Patient Sign-In Label Forms, Two-Part Carbon, 8.5 X 11.63, Blue, 1/Page, 125 Forms

SKU: TAB14531 Catalog SKU: TAB-14531

Paper Color(s)

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.
$68.79 /PK
435 In stock
You pay:
$68.79
Qty
Your purchase will provide
1 minutes
of employment to people who
are blind or visually impaired.
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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
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) Blue
Manufacturer Part Number 14531
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
Paper Color(s) Blue
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
Copy Types Carbon Duplicate