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Tabbies Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon, 1/Page, 125 Forms (14530)

  • 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.
More Details
$38.48 $69.95
IN STOCK

Product#: 14530

EXPIDITED SHIPPING - Estimated Delivery Mon 6/27

Product Description

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. Form Size: 8.5 x 11.63; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.

  • 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.

Product Specification

Manufacturer Tabbies
Categories Tabbies Office SuppliesTabbies Forms, Recordkeeping & Reference MaterialsTabbies Forms
Manufacturer Stock No. 14530
MPN TAB14530
Model# 14530
UPC Code 084371145300
UNSPSC Code 0
Copy Types Two-Part Carbon
Finish Label Stock
Form Quantity 125
Form Size 8.5 x 11.63
Forms Per Page 1
Global Product Type Forms-Medical Admissions
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) Salmon
Post-Consumer Recycled Content Percent 0%
Pre-Consumer Recycled Content Percent 0%
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
Sheet Size 8.5 x 11.63
Total Number of Entries per Book 2,875
Total Recycled Content Percent 0%
Assembly Required No assembly is required
Contains Recycled Materials N
Green Product N
Unit of Measure PK
Item Weight 4.95
Ships via UPS Y
Carton Pack Quantity 6 PK
Brand Tabbies
Country of Origin US
UNSPSC Number 14111806

Tabbies Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon, 1/Page, 125 Forms (14530) Reviews

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