8-1/2" x 11" Patients Sign In, Side Stubs, 2 pt. Carbonless Form (Lot of 250)
$211.35
- HIPPA Compliant (HIPPA Privacy Rule, Section 164.502)
- Second Sheet is a complete record of all patients seen that day
- Option to call patients by name or number
- Carbonless
- Pt 1 – Pressure Sensitive EDP Perm Label with 23 face slits, Pt 2 – 17# Self Contained Paper
Description
Confidentially sign in your patients! Each patient completes the next available line and removes the number to the left of the name. Patients can then wait to be called by either their name or their number. (Lot of 250).
Additional information
| Weight | 5.00 lbs |
|---|---|
| Dimensions | 10 × 12 × 3 in |
| Color | White |
| Paper Type | OfficeProducts |
| Paper Sequence | 24 lb |
| Perforation | Yes |
| Perforation Orentation | Vertical |
| Sheet Size | 8-1/2 x 11 in |
| Color Map | White |
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