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Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon, 1/Page, 125 Forms

SKU TAB14530
  • Forms limit access to personal information as required by HIPAA.
  • Once label strip is removed the patient information is now protected behind special backing paper.
  • Can be used as confidential daily patient log as well as sign-in sheet.

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$55.50/PK
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Tabbies®
Made in USA

Product Description

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon, 1/Page, 125 Forms. 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. Form Size: 8.5 x 11.63; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.
  • Forms limit access to personal information as required by HIPAA.
  • Once label strip is removed the patient information is now protected behind special backing paper.
  • Can be used as confidential daily patient log as well as sign-in sheet.

Technical Specifications

  • Carbon Duplicate
  • Label Stock
  • 125
  • 8.5 x 11.63
  • 1
  • Forms-Medical Admissions
  • One Form per Sheet
  • 6
  • 23
  • Preprinted Entry Lines
  • Black
  • Salmon
  • Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
  • Black
  • 8.5 x 11.63
  • 0%
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