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

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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.
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$28.34 USD Retail $59.75
  • 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.
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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.

    Product Specifications

    Copy TypesCarbonless Duplicate
    FinishLabel Stock
    Form Quantity125
    Form Size8 1/2 x 11 5/8
    Forms Per Page1
    Global Product TypeForms-Medical Admissions
    LayoutOne Form per Sheet
    Number of Columns6
    Number of Entry Lines23
    NumberingPreprinted Entry Lines
    Numbering Color(s)Black
    Paper Color(s)Salmon
    Post-Consumer Recycled Content Percent0%
    Pre-Consumer Recycled Content Percent0%
    Principal Heading(s)Any Changes Since Last Visit
    Principal Heading(s)New Patient
    Principal Heading(s)Appointment With
    Principal Heading(s)Appt. Time
    Principal Heading(s)Arrival Time
    Principal Heading(s)Please Print Name
    Principal Heading(s)Date
    Print and Ruling Color(s)Black
    Product_DescriptionFORMPATIENT SIGN-INSAL
    Sheet Size8 1/2 x 11 5/8
    Total Number of Entries per Book2875
    Total Recycled Content Percent0%

    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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