Tabbies 14530 8.5 in. x 11.63 in. 2-Part Carbon Patient Sign-In Label Forms - Salmon Sheets (125/Pack)

Tabbies Model: 14530
$90.00
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Tabbies 14530 8.5 in. x 11.63 in. 2-Part Carbon Patient Sign-In Label Forms - Salmon Sheets (125/Pack) Tabbies Model: 14530
price for vip customer
$90.00

Product Features & Specs :

Tabbies 14530 8.5 in. x 11.63 in. 2-Part Carbon Patient Sign-In Label Forms - Salmon Sheets (125/Pack)

Details

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

What’s Included:

  • (125/Pack) 8.5 in. x 11.63 in. 2-Part Carbon Patient Sign-In Label Forms - Salmon Sheets - 14530

Dated/Undated

Undated

Product Biodegradability in Days

0

Form Size

8.5 x 11.63

Numbering Color(s)

Black

Total Recycled Content Percent

0%

Form Quantity (Total)

125

Sheet Size

8.5 x 11.63

Pre-Consumer Recycled Content Percent

0%

Post-Consumer Recycled Content Percent

0%

Print and Ruling Color(s)

Black

Color Family

Pink

Principal Heading(s)

Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit

Number of Entry Lines

23

Columns per Sheet

6

Format Indicator

Unbound

Copy Types

Two-Part Carbon

Forms Per Page

1

Paper Color(s)

Salmon

Form Type Details

Medical Admission

Length

11.63 in.

Width

8.5 in.

Height

1.75 in.

Weight

4.95 lbs.

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