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

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IMG
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.
$48.60Retail $66.25
  • 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.
  • Manufacturer:
    TABBIES
    Item:
    14532
    Our Part #
    TAB14532
    Condition
    New
    $48.60PK
    $66.25
    Availability In Stock
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    Product description

    Specifications

    Access Type
    Arrival Time
    Access Type
    Any Changes Since Last Visit
    Access Type
    Appointment With
    Access Type
    New Patient
    Access Type
    Appt. Time
    Access Type
    Please Print Name
    Access Type
    Date
    Bus Speed
    Green
    Composer
    Label Stock
    Compressor Power
    1
    Copy Types
    Carbonless Duplicate
    Crossover Frequency
    0%
    Fan Location
    125
    Finish
    Label Stock
    Form Quantity
    125
    Form Size
    8 1/2 x 11 5/8
    Forms Per Page
    1
    Height (Rear)
    6
    Input Voltage Type
    8 1/2 x 11 5/8
    Layout
    One Form per Sheet
    Matching Dryer Model Number
    23
    Number of Columns
    6
    Number of Dispenser Valves
    Carbonless Duplicate
    Number of Doors/Lids
    One Form per Sheet
    Number of Entry Lines
    23
    Numbering
    Preprinted Entry Lines
    Numbering Color(s)
    Black
    Paper Color(s)
    Green
    Pedestal Model Compatibility
    Preprinted Entry Lines
    Post-Consumer Recycled Content Percent
    0%
    Pre-Consumer Recycled Content Percent
    0%
    Principal Heading(s)
    Appointment With
    Print and Ruling Color(s)
    Black
    Product Type
    Forms-Medical Admissions
    Product_Description
    FORMPATIENT SIGN-IN.LOG
    Refrigeration Method
    2875
    Sheet Size
    8 1/2 x 11 5/8
    Speaker Diameter
    0%
    Total Number of DVI Outputs
    Black
    Total Number of Entries per Book
    2875
    Total Recycled Content Percent
    0%

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