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Tabbies

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total TAB14531

14531    MLS# 99534864

$90.11 /PK $112.64 /PK

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total
Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue
Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue
Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue
Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue

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.

  • 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.
Form Type DetailsMedical Admission
Global Product TypeMedical Admission Forms
Dated/UndatedUndated
Forms Per Page1
Form Size8.5 x 11.63
Sheet Size8.5 x 11.63
Format IndicatorUnbound
Form Quantity (Total)125
Copy TypesTwo-Part Carbon
Principal Heading(s)Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
Columns per Sheet6
Number of Entry Lines23
Paper Color(s)Blue
Color FamilyBlue
Print and Ruling Color(s)Black
Numbering Color(s)Black
Product Biodegradability in Days0
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Special FeaturesBlue Sheets
Country Of OriginUS
Carton Weight33
Carton Pack Quantity6 PK
UPC084371145317
UNSPSC14111806
Weight4.95 lbs
Height1.75 in
Width8.5 in
Length11.625 in
Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total TAB14531
Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue
Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total
Tabbies

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total TAB14531

14531    MLS# 99534864

$90.11 /PK $112.64 /PK

  • 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.

 
Description

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 Details
Form Type DetailsMedical Admission
Global Product TypeMedical Admission Forms
Dated/UndatedUndated
Forms Per Page1
Form Size8.5 x 11.63
Sheet Size8.5 x 11.63
Format IndicatorUnbound
Form Quantity (Total)125
Copy TypesTwo-Part Carbon
Principal Heading(s)Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
Columns per Sheet6
Number of Entry Lines23
Paper Color(s)Blue
Color FamilyBlue
Print and Ruling Color(s)Black
Numbering Color(s)Black
Product Biodegradability in Days0
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Special FeaturesBlue Sheets
Country Of OriginUS
Carton Weight33
Carton Pack Quantity6 PK
UPC084371145317
UNSPSC14111806
 
Shipping Weight & Item Dimensions
Weight4.95 lbs
Height1.75 in
Width8.5 in
Length11.625 in