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

Original
SKU: TAB14532 • Catalog SKU: TAB-14532

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.
$85.89 /PK
99 In stock
You pay:
$85.89
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

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