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

SKU: SPY-TAB14532
  • 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
Subtotal
US$ 67.50
US$ 67.50
US$ 67.101%
2
US$ 66.861%
3
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Options
Brand
Features
Removable Numbered Label Strip
Manufacturer Part Number
14532
Product Type
Patient Sign-in Form
Assembly Required
No
Country of Origin
United States
Global Product Type
Forms-Medical Admissions
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Special Features
Green Sheets
Total Recycled Content Percent
0%
Recycled
No
Certifications & Standards
HIPAA
Product Name
Patient Sign-in Label Forms
Sheet Size
8.5 x 11.63
Sheet Standard
Letter
Paper Color(s)
Green
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
Product Material
Paper
Dated/Undated
Undated
Form length
11"
Form width
8.50"
Description

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

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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