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

    Product Code: TAB14532
    Product Unit: PK125
    Tabbies®
    43 Stock Available

    • 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.
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Product Details

Product Information

Code TAB14532
Manufacturer TABBIES
Manufacturer Part Number 217695
Global Product Type Medical Admission Forms
Form Type Details Medical Admission
Dated/Undated Undated
Forms Per Page 1
Format Indicator Unbound
Copy Types Two-Part Carbon
Color Family Green
Form Size 8.5 x 11.63
Sheet Size 8.5 x 11.63
Form Quantity (Total) 125
Principal Heading(s) Date,Please Print Name,Arrival Time,Appt. Time,Appointment With,New Patient,Any Changes Since Last Visit
Columns per Sheet 6
Number of Entry Lines 23
Paper Color(s) Green
Print and Ruling Color(s) Black
Numbering Color(s) Black
Product Biodegradability in Days 0
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
Special Features Green Sheets
UPC 084371145324
UNSPSC 14111806

Additional Info

Package Small Package; Eligible for UPS Shipping

Shipping Weight & Item Dimensions ( Carton )

Weight 33 lbs.
Height 11 in
Length 12 in
Width 9 in

Additional Info

Country of Origin United States of America (the)

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.

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