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

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Item #: TAB14532
  • 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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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. Green Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.
Form Type DetailsMedical Admission
Global Product TypeMedical Admission Forms
Form Size8.5 x 11.63
Dated/UndatedUndated
Number of Columns6
Forms Per Page1
Number of Entry Lines23
Form Quantity125
Format IndicatorUnbound
Sheet Size8.5 x 11.63
Principal Heading(s)Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
Form Quantity (Total)125
LayoutOne Form per Sheet
NumberingPreprinted Entry Lines
Columns per Sheet6
Copy TypesTwo-Part Carbon
Total Number of Entries per Book2,875
Color FamilyGreen
Paper Color(s)Green
Print and Ruling Color(s)Black
Numbering Color(s)Black
FinishLabel Stock
Product Biodegradability in Days0
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Special FeaturesGreen Sheets
Carton Pack Quantity6 PK
UNSPSC14111806
UPC084371145324
MPNTAB14532
UNSPSC14111806

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