Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon Sheets, 125 Forms Total

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon Sheets, 125 Forms Total

Tabbies®
SKU:
TAB14530
|
UPC:
084371145300
$81.99
$90.00
(You Save $8.01 )
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WEIGHT:
4.95 LBS
Current Stock:
753
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Description
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.
Specifications
Color Family:
Pink
Paper Color(s):
Salmon
Special Features:
Salmon Sheets
Product Biodegradability in Days:
0
Pre-Consumer Recycled Content Percent:
0%
Total Recycled Content Percent:
0%
Post-Consumer Recycled Content Percent:
0%
Ship Class Code:
M
Forms Per Page:
1
Dated/Undated:
Undated
Form Size:
8.5 x 11.63
Sheet Size:
8.5 x 11.63
Form Quantity (Total):
125
Copy Types:
Two-Part Carbon
Form Type Details:
Medical Admission
Global Product Type:
Medical Admission Forms
Numbering Color(s):
Black
Principal Heading(s):
Any Changes Since Last Visit
Number of Entry Lines:
23
Print and Ruling Color(s):
Black
Columns per Sheet:
6
Format Indicator:
Unbound