Sub total:
$138.00
total:
$138.00
Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Green
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.
| $58.82USD | Retail $66.25 |
Manufacturer:
TABBIES
Item:
14532
UPC Code:
084371145324
Condition
New
Extended Warrenty
| 1 Year Extended Warrenty | $11.76 |
$58.82USD PK
$66.25
$66.25
Availability
In Stock
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Product description
Specifications
Copy Types
Carbonless Duplicate
Finish
Label Stock
Finish
Label Stock
Finish
Label Stock
Form Quantity
125
Form Quantity
125
Form Quantity
125
Form Size
8 1/2 x 11 5/8
Forms Per Page
1
Layout
One Form per Sheet
Number of Columns
6
Number of Entry Lines
23
Numbering
Preprinted Entry Lines
Numbering Color(s)
Black
Paper Color(s)
Green
Paper Color(s)
Green
Paper Color(s)
Green
Post-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
Arrival Time
Principal Heading(s)
Appointment With
Principal Heading(s)
Any Changes Since Last Visit
Principal Heading(s)
New Patient
Principal Heading(s)
Please Print Name
Principal Heading(s)
Appt. Time
Principal Heading(s)
Date
Print and Ruling Color(s)
Black
Product Type
Forms-Medical Admissions
Product_Description
FORMPATIENT SIGN-IN.LOG
Sheet Size
8 1/2 x 11 5/8
Total Number of Entries per Book
2875
Total Recycled Content Percent
0%
Total Recycled Content Percent
0%
Total Recycled Content Percent
0%
Copy Types
Carbonless Duplicate
Form Size
8 1/2 x 11 5/8
Forms Per Page
1
Layout
One Form per Sheet
Number of Columns
6
Number of Entry Lines
23
Numbering
Preprinted Entry Lines
Numbering Color(s)
Black
Principal Heading(s)
Appt. Time
Principal Heading(s)
Please Print Name
Principal Heading(s)
New Patient
Principal Heading(s)
Any Changes Since Last Visit
Principal Heading(s)
Appointment With
Principal Heading(s)
Arrival Time
Principal Heading(s)
Date
Print and Ruling Color(s)
Black
Product_Description
FORMPATIENT SIGN-IN.LOG
Sheet Size
8 1/2 x 11 5/8
Total Number of Entries per Book
2875