Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Green
New
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.
| $28.34 USD Retail $59.75 |
Extended Warrenty
| 1 Year Extended Warrenty | $5.67 |
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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 Types | Carbonless Duplicate |
| Finish | Label Stock |
| Form Quantity | 125 |
| Form Size | 8 1/2 x 11 5/8 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Medical Admissions |
| Layout | One Form per Sheet |
| Number of Columns | 6 |
| Number of Entry Lines | 23 |
| Numbering | Preprinted Entry Lines |
| Numbering Color(s) | Black |
| Paper Color(s) | Green |
| Post-Consumer Recycled Content Percent | 0% |
| Pre-Consumer Recycled Content Percent | 0% |
| 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_Description | FORMPATIENT SIGN-IN.LOG |
| Sheet Size | 8 1/2 x 11 5/8 |
| 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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