Product Media

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.
Quantity

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.
Tabbies®
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)
Please Print Name
Principal Heading(s)
Appt. Time
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
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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