New Arrivals/Restock

"Patient Sign-In Label Forms, Two-Part Carbon, 8.5 X 11.63, Blue, 1/page, 125 Forms | Bundle of 2 Packs"

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US$120.90 cheaper than the new price!!

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Used  US$80.60
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Product details

Management number 238140499 Release Date 2026/07/11 List Price US$80.60 Model Number 238140499
Category

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. Form Size: 8.5 x 11.63; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.<ul><li>This is a bundle of 2 Packs</li><li>125 per Pack</li></ul>

  • 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.
Standard form & application type Receipt Form
Paper size 8.5 x 11.63
Brand Tabbies
Sheets 125
Retail packaging Bundle
Piece count 125
Color Blue

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