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

  • 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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SKU: TAB14531 Category: Tag:

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. Blue Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.

TAB14531
TAB-14531

Additional information

Brand

TABBIES

Form Type Details

Medical Admission

Global Product Type

Medical Admission Forms

Dated/Undated

Undated

Forms Per Page

1

Form Size

8.5 x 11.63

Sheet Size

8.5 x 11.63

Format Indicator

Unbound

Form Quantity (Total)

125

Copy Types

Two-Part Carbon

Principal Heading(s)

Any Changes Since Last Visit

Columns per Sheet

6

Number of Entry Lines

23

Paper Color(s)

Blue

Color Family

Blue

Print and Ruling Color(s)

Black

Numbering Color(s)

Black

Pre-Consumer Recycled Content Percent

0%

Post-Consumer Recycled Content Percent

0%

Total Recycled Content Percent

0%

Special Features

Blue Sheets

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