Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Green
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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.
| $48.60 Retail $66.25 |
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Product 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% |
Material Safety Data Sheet
A Material Safety Data Sheet (MSDS) is a document that contains information on the potential hazards (health, fire, reactivity and environmental) and how to work safely with the chemical product.
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