Tabbies Patient Sign-In Label Forms, Two-Part Carbon, 8.5 X 11.63, Salmon Sheets, 125 Forms Total

SKU: SPY-TAB14530
Out of stock
Out of stock
  • 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.
Unit Price
Quantity
US$ 55.92
Out of stock
Options
Brand
Manufacturer
TABBIES DIV
Manufacturer Part Number
14530
Product Type
Patient Sign-in Form
Assembly Required
No
Country of Origin
United States
Global Product Type
Forms-Medical Admissions
Packaging
125
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Special Features
Salmon Sheets
Total Recycled Content Percent
0%
Recycled
No
Product Name
Patient Sign-in Label Forms
Sheet Size
8.5 x 11.63
Number of Pages
125
Paper Color(s)
Salmon
Copy Types
Two-Part Carbon
Form Size
8.5 x 11.63 8.5 x 11.63
Forms Per Page
1
Numbering Color(s)
Black
Principal Heading(s)
Date Please Print Name Arrival Time Appt. Time Appointment With New Patient Any Changes Since Last Visit
Print and Ruling Color(s)
Black
Number of Entry Lines
23
Number of Columns
6 6
Number of Lines
23
Dated/Undated
Undated
Refurbished
N
Product color
Salmon
Description

Tabbies Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon Sheets, 125 Forms Total - Confidentially sign in your patients with Patient Sign-In Label Forms. Forms limit access to personal information as required by HIPAA. Patients sign in on the next available, removable, numbered label strip. Patient then takes the numbered label 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 a confidential daily patient log. Forms are numbered 1 through 23 to record up to 23 patients. Each package contains 125 forms allowing you to record 2,875 patients.

Shipping from
This product is shipped from our supplier's warehouse in Colombus, WI, United States
Our guarantee
This product is brand new and includes the manufacturer's warranty, so you can buy with confidence.
A 25% handling charge is levied against all authorized returns except those due to our error. Unauthorized returns are subject to a 40% handling charge. Damages & defects must be reported to us within 14 days.
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