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

SKU
TAB14531
$57.30 /PACKAGE

Delivered in 2-4 business days

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.

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. Blue Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.


Color FamilyBlue
Columns per Sheet6
Copy TypesTwo-Part Carbon
Dated/UndatedUndated
Form Quantity (Total)125
Form Size8.5 x 11.63
Form Type DetailsMedical Admission
Format IndicatorUnbound
Forms Per Page1
Global Product TypeMedical Admission Forms
Number of Entry Lines23
Numbering Color(s)Black
Paper Color(s)Blue
Post-Consumer Recycled Content Percent0%
Pre-Consumer Recycled Content Percent0%
Principal Heading(s)Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
Print and Ruling Color(s)Black
Product Biodegradability in Days0
Sheet Size8.5 x 11.63
Special FeaturesBlue Sheets
Total Recycled Content Percent0%
BrandTabbies
Weight (lbs)4.9500
UPC084371145317
MPN14531
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