Blue Confidential Patient Sign-In Label Forms, 8-1/2″ x 11″, 23 Peel Off Adhesive Sign In Lines (125 Forms per Pack)

$60.05

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
Patient Privacy Sign-In Sheet

SKU: S-14531 Category: Patient Sign-In Sheets

Description

Keep track of which patients come in to your healthcare facility or medical offices each day with these Blue Confidential Patient Sign-In Label Forms from The Supplies Shops. Each of these 8.5″ x 11″ HIPAA-compliant confidential patient sign-in sheets comes with 23 peel-off labels. This allows you to ensure that patient information remains confidential since it prevents other visitors from seeing details on the sign-in log. Once completed, you can remove the top portion to reveal the special backer, which will have a complete log of the patient visits for the day.

This form features a simple blue color background with fields for the following patient data: name, arrival time, appointment time, appointment with, new patient check box and a box to indicate a change of address, phone or insurance since the last visit.