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Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Green

231219   Tabbies
Free Shipping on Orders over $99!
SKU # TAB-14532
Your Price:
$56.71

Quantity:

QTY 2 to 5
$56.17

QTY 6 to 10
$55.99

QTY 11+
$55.81

Availability: In-Stock
 
  • 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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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. Form Size: 8 1/2 x 11 5/8; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.

Global Product Type
Forms-Medical Admissions
Global Product Type
Forms-Medical Admissions
Global Product Type
Forms-Medical Admissions
Global Product Type
Forms-Medical Admissions
Global Product Type
Forms-Medical Admissions
Form Size
8 1/2 x 11 5/8
Number of Columns
6
Forms Per Page
1
Number of Entry Lines
23
Form Quantity
125
Sheet Size
8 1/2 x 11 5/8
Principal Heading(s)
Date
Principal Heading(s)
Please Print Name
Principal Heading(s)
Arrival Time
Principal Heading(s)
Appt. Time
Principal Heading(s)
Appointment With
Principal Heading(s)
New Patient
Principal Heading(s)
Any Changes Since Last Visit
Layout
One Form per Sheet
Numbering
Preprinted Entry Lines
Copy Types
Carbonless Duplicate
Total Number of Entries per Book
2875
Paper Color(s)
Green
Print and Ruling Color(s)
Black
Numbering Color(s)
Black
Finish
Label Stock
Pre-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Total Recycled Content Percent
0%
Total Recycled Content Percent
0%
Total Recycled Content Percent
0%
Total Recycled Content Percent
0%
Mfg. Part No.
14532
UPC
084371145324


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