Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total
Product Number: ESS-TAB14531
$83.00
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.
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.
ESS-TAB14531
Data sheet
- Special Features
- Blue Sheets
- Paper Color(s)
- Blue
- Global Product Type
- Forms-Medical Admissions
- Global Product Type
- Medical Admission Forms
- Dated/Undated
- Undated
- Color Family
- Blue
- Pre-Consumer Recycled Content Percent
- 0%
- Post-Consumer Recycled Content Percent
- 0%
- Total Recycled Content Percent
- 0%
- Unit Of Measure
- PK
- 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 1/2 x 11 5/8
- Sheet Size
- 8.5 x 11.63
- Principal Heading(s)
- New Patient
- 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
- 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
- Carbonless Duplicate
- Copy Types
- Two-Part Carbon
- Columns per Sheet
- 6
- Form Type Details
- Medical Admission
- Format Indicator
- Unbound
- Form Quantity (Total)
- 125
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.