Green Confidential Patient Sign-In Label Forms, 8-1/2″ x 11″, 23 Peel Off Adhesive Sign In Lines (125 Forms per Pack)
$52.62 – $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
Description
HIPAA Compliant confidential patient sign-in sheet forms with peel off labels. 8.5″ x 11″ forms with 23 peel off labels used to keep patient sign in logs confidential. Once completed the special backer has a complete log of the patient visits for the day. Green color background with fields for name, arrival time, appointment time, appointment with, new patient check box and change of address, phone and insurance since the last visit.
Additional information
| Weight | 5.00 lbs |
|---|---|
| Dimensions | 10 × 12 × 3 in |
| Color | Green |
| Paper Type | OfficeProducts |
| Sheet Size | 8-1/2 x 11 in |
| Color Map | Green |
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