Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue, 1/Page, 125 Forms
$83.00
Tax excluded
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.
TAB14531
514 Items
Data sheet
- Paper Color(s)
- Blue
- Global Product Type
- Forms-Medical Admissions
- Pre-Consumer Recycled Content Percent
- 0%
- Post-Consumer Recycled Content Percent
- 0%
- Total Recycled Content Percent
- 0%
- Finish
- Label Stock
- Form Size
- 8 1/2 x 11 5/8
- Form Size
- 8.5 x 11.63
- Forms Per Page
- 1
- Number of Entry Lines
- 23
- Form Quantity
- 125
- Sheet Size
- 8.5 x 11.63
- Sheet Size
- 8 1/2 x 11 5/8
- Principal Heading(s)
- Date
- Principal Heading(s)
- Arrival Time
- Principal Heading(s)
- Appointment With
- Principal Heading(s)
- Any Changes Since Last Visit
- Principal Heading(s)
- Please Print Name
- Principal Heading(s)
- Appt. Time
- Principal Heading(s)
- New Patient
- Number of Columns
- 6
- Layout
- One Form per Sheet
- Total Number of Entries per Book
- 2875
- Total Number of Entries per Book
- 2,875
- Print and Ruling Color(s)
- Black
- Numbering
- Preprinted Entry Lines
- Numbering Color(s)
- Black
- Copy Types
- Two-Part Carbon
- Copy Types
- Carbonless Duplicate
- Unit Of Measure
- PK
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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.