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

SKU: TAB14531

Your Price: $63.10/PK      

Description

  • 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.

QTY:

+

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Available Quantity is 5   

 
Also Consider
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
Global Product Type Medical Admission Forms
Form Type Details Medical Admission
Dated/Undated Undated
Forms Per Page 1
Format Indicator Unbound
Copy Types Two-Part Carbon
Color Family Blue
Form Size 8.5 x 11.63
Sheet Size 8.5 x 11.63
Form Quantity (Total) 125
Principal Heading(s) Date,Please Print Name,Arrival Time,Appt. Time,Appointment With,New Patient,Any Changes Since Last Visit
Columns per Sheet 6
Number of Entry Lines 23
Paper Color(s) Blue
Print and Ruling Color(s) Black
Numbering Color(s) Black
Product Biodegradability in Days 0
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
Special Features Blue Sheets

Tabbies®

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

  • 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.
SKU: TAB14530

Your Price

$63.10/PK