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Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total
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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.
Additional information
| Weight | 4.9500 lbs |
|---|---|
| Dimensions | 11.63 × 8.50 × 1.75 in |
| Columns per Sheet | 6 |
| Format Indicator | Unbound |
| Ship Class Code | M |
| Product Biodegradability in | 0 |
| Dated/Undated | Undated |
| Forms Per Page | 1 |
| Color Family | Blue |
| Principal Heading(s) | Any Changes Since Last Visit |
| Number of Entry Lines | 23 |
| Form Quantity (Total) | 125 |
| Copy Types | Two-Part Carbon |
| Numbering Color(s) | Black |
| Print and Ruling Color(s) | Black |
| Form Size | 8.5 x 11.63 |
| Sheet Size | 8.5 x 11.63 |
| Global Product Type | Medical Admission Forms |
| Form Type Details | Medical Admission |
| Special Features | Blue Sheets |
| Paper Color(s) | Blue |
| Post-Consumer Recycled Cont | 0% |
| Pre-Consumer Recycled Conte | 0% |
| Total Recycled Content Perc | 0% |
| UPC | 084371145317 |
| MPN | 14531 |
| Brand | Tabbies® |
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