Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms Total
Product Number: ESS-TAB14532
$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-TAB14532
Data sheet
- Special Features
- Green Sheets
- Paper Color(s)
- Green
- Global Product Type
- Medical Admission Forms
- Dated/Undated
- Undated
- Color Family
- Green
- Pre-Consumer Recycled Content Percent
- 0%
- Post-Consumer Recycled Content Percent
- 0%
- Total Recycled Content Percent
- 0%
- Unit Of Measure
- PK
- Form Size
- 8.5 x 11.63
- Forms Per Page
- 1
- Number of Entry Lines
- 23
- Sheet Size
- 8.5 x 11.63
- 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
- Print and Ruling Color(s)
- Black
- Numbering Color(s)
- Black
- Copy Types
- Two-Part Carbon
- Columns per Sheet
- 6
- Form Type Details
- Medical Admission
- Format Indicator
- Unbound
- Form Quantity (Total)
- 125
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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.