IMG
IMG

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

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.
$53.35PK
$66.25
Sorry Product is Currently not Available.
Availability Currently out of stock
Delivery To Not Logged in.
Region USA - Change
Great Deals Everyday
Manufacturer:
TABBIES
Item:
14532
UPC Code:
084371145324
Condition
New
  • 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.
  • You may be also interested

    Product description

    Specifications

    Copy Types
    Carbonless Duplicate
    Finish
    Label Stock
    Form Quantity
    125
    Form Size
    8 1/2 x 11 5/8
    Forms Per Page
    1
    Layout
    One Form per Sheet
    Number of Columns
    6
    Number of Entry Lines
    23
    Numbering
    Preprinted Entry Lines
    Numbering Color(s)
    Black
    Paper Color(s)
    Green
    Post-Consumer Recycled Content Percent
    0%
    Pre-Consumer Recycled Content Percent
    0%
    Principal Heading(s)
    Any Changes Since Last Visit
    Principal Heading(s)
    Appointment With
    Principal Heading(s)
    Arrival Time
    Principal Heading(s)
    Date
    Principal Heading(s)
    New Patient
    Principal Heading(s)
    Appt. Time
    Principal Heading(s)
    Please Print Name
    Print and Ruling Color(s)
    Black
    Product_Description
    FORMPATIENT SIGN-IN.LOG
    Sheet Size
    8 1/2 x 11 5/8
    Total Number of Entries per Book
    2875
    Total Recycled Content Percent
    0%
    Product Type
    Forms-Medical Admissions

    Product ratings & Reviews

    0.0
    Based on 0 reviews
    5
    4
    3
    2
    1