OEM#: 14532New OEM Original Outright
PATIENT SIGN-IN LABEL FORMS, TWO-PART CARBON, 8.5 X 11.63, GREEN SHEETS, 125 FORMS TOTAL by Tabbies
Your price:
$64.96 Per package of 125 $83.00 Savings: $18.04 (22%)
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OEM#: 14532PATIENT SIGN-IN LABEL FORMS, TWO-PART CARBON, 8.5 X 11.63, GREEN SHEETS, 125 FORMS TOTAL by Tabbies
New OEM Original Outright
Your price:
$64.96 Per package of 125
$83.00 Savings: $18.04 (22%)
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Product Overview
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.
Features
- 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.
Technical Specs
P/N: 14532 Key Specs
Item
PATIENT SIGN-IN LABEL FORMS, TWO-PART CARBON, 8.5 X 11.63, GREEN SHEETS, 125 FORMS TOTAL
OEM
Tabbies
OEM #
14532
Condition
New OEM Original
Returnable
No
Warranty
Mfr Warranty
Color Family
Green
Copy Types
Two-Part Carbon
Country of Origin
USA
Dated/Undated
Undated
Form Quantity (Total)
125
Form Size
8.5 x 11.63
Form Type Details
Medical Admission
Format Indicator
Unbound
Forms Per Page
1
Number of Columns
6
Number of Entry Lines
23
Numbering Color(s)
Black
Paper Color(s)
Green
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
Special Features
Green Sheets
Total Recycled Content Percent
0%
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.
Product Overview
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.
Features
- 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.
Technical Specs
P/N: 14532 Key Specs
Item
PATIENT SIGN-IN LABEL FORMS, TWO-PART CARBON, 8.5 X 11.63, GREEN SHEETS, 125 FORMS TOTAL
OEM
Tabbies
OEM #
14532
Condition
New OEM Original
Returnable
No
Warranty
Mfr Warranty
Color Family
Green
Copy Types
Two-Part Carbon
Country of Origin
USA
Dated/Undated
Undated
Form Quantity (Total)
125
Form Size
8.5 x 11.63
Form Type Details
Medical Admission
Format Indicator
Unbound
Forms Per Page
1
Number of Columns
6
Number of Entry Lines
23
Numbering Color(s)
Black
Paper Color(s)
Green
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
Special Features
Green Sheets
Total Recycled Content Percent
0%
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.
Product Overview
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.
Features
- 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.
Technical Specs
P/N: 14532 Key Specs
Item
PATIENT SIGN-IN LABEL FORMS, TWO-PART CARBON, 8.5 X 11.63, GREEN SHEETS, 125 FORMS TOTAL
OEM
Tabbies
OEM #
14532
Condition
New OEM Original
Returnable
No
Warranty
Mfr Warranty
Color Family
Green
Copy Types
Two-Part Carbon
Country of Origin
USA
Dated/Undated
Undated
Form Quantity (Total)
125
Form Size
8.5 x 11.63
Form Type Details
Medical Admission
Format Indicator
Unbound
Forms Per Page
1
Number of Columns
6
Number of Entry Lines
23
Numbering Color(s)
Black
Paper Color(s)
Green
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
Special Features
Green Sheets
Total Recycled Content Percent
0%
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.