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VISTAB14530 |

Patient Sign-in Label Forms, Two-part Carbon, 8.5 X 11.63, Salmon, 1/page, 125 Forms

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About this item

  • 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.
  • 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.
  • Price: Available Upon Quote

    50+ In Stock.

    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.
    Product Specifications:
    Global Product Type: Forms-Medical Admissions
    Form Size: 8.5 x 11.63
    Number of Columns: 6
    Forms Per Page: 1
    Number of Entry Lines: 23
    Form Quantity: 125
    Sheet Size: 8.5 x 11.63
    Principal Heading(s): Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
    Layout: One Form per Sheet
    Numbering: Preprinted Entry Lines
    Copy Types: Carbon Duplicate
    Total Number of Entries per Book: 2875
    Paper Color(s): Salmon
    Print and Ruling Color(s): Black
    Numbering Color(s): Black
    Finish: Label Stock
    Pre-Consumer Recycled Content Percent: 0%
    Post-Consumer Recycled Content Percent: 0%
    Total Recycled Content Percent: 0%
    *Nationwide Free Shipping: Orders must meet minimum spending threshold to quality for free shipping. **Certain product description and details, including Country of Origin, recycled content, and other product specifications, are based on information obtained from product manufacturers and other third parties. We have not independently verified this information and do not warrant its accuracy.

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