Customers also Purchased
Customers also Purchased...
8-1/2" x 11" Patients Sign In, Side Stubs, 2 pt. Carbonless Form (Lot of 250)
Item Number: CAR23-85113
Pricing:
| Price per Lot of 250 Sheets | 2+ Lots | 5+ Lots | 10+ Lots | 20+ Lots |
| $211.35 | $199.33 | $193.26 | $186.79 | $181.40 |
| Volume Savings | 5.7% | 8.6% | 11.6% | 14.2% |
| Need 30+ Lots? Click here for Pricing | ||||
- HIPPA Compliant (HIPPA Privacy Rule, Section 164.502)
- Second Sheet is a complete record of all patients seen that day
- Option to call patients by name or number
- Carbonless
- Pt 1 - Pressure Sensitive EDP Perm Label with 23 face slits, Pt 2 - 17# Self Contained Paper
Item temporarily unavailable. Please check back later or contact customer service. Request Additional Product Information
Customers also Purchased
Customers also Purchased...
Description:
Confidentially sign in your patients! Each patient completes the next available line and removes the number to the left of the name. Patients can then wait to be called by either their name or their number. (Lot of 250).
Specifications:
| ASIN: | B00E8WURNQ | Background Color: | White | |
|---|---|---|---|---|
| Brand: | The Business Form Supplies Shop | Feature 6: | A special back printing prevents writing from showing on the liner | |
| Feature 7: | Printing on the liner directs patients to sign the next line | Feature 8: | 250 Sheets / Lot | |
| Carbonless: | Yes | Color: | White | |
| Condition: | New | Currency: | USD | |
| Pre-Printed: | Yes | Package Height: | 11 in | |
| Package Weight: | 5.00 LB | Package Width: | 8-1/2 in | |
| Material: | Paper | Country of Origin: | USA | |
| Manufacturer Part Number: | CAR23-85113 | Number of Items: | 250 | |
| Paper Size: | Letter in | Paper Type: | Laser Paper | |
| Paper Weight Sequence: | 24 lb | Perforation: | Yes | |
| Perforation Orientation: | Vertical | Point Size / Basis Weight: | 24# | |
| Sheet Length: | 11 in | Sheet Size: | 8-1/2 x 11 in | |
| Sheet Width: | 8-1/2 in | Ships in: | 1 to 3 Business Days (Plus time in transit) | |
| Size: | 8-1/2 x 11 in |
| ASIN: | B00E8WURNQ |
|---|---|
| Background Color: | White |
| Brand: | The Business Form Supplies Shop |
| Feature 6: | A special back printing prevents writing from showing on the liner |
| Feature 7: | Printing on the liner directs patients to sign the next line |
| Feature 8: | 250 Sheets / Lot |
| Carbonless: | Yes |
| Color: | White |
| Condition: | New |
| Currency: | USD |
| Pre-Printed: | Yes |
| Package Height: | 11 in |
| Package Weight: | 5.00 LB |
| Package Width: | 8-1/2 in |
| Material: | Paper |
| Country of Origin: | USA |
| Manufacturer Part Number: | CAR23-85113 |
| Number of Items: | 250 |
| Paper Size: | Letter in |
| Paper Type: | Laser Paper |
| Paper Weight Sequence: | 24 lb |
| Perforation: | Yes |
| Perforation Orientation: | Vertical |
| Point Size / Basis Weight: | 24# |
| Sheet Length: | 11 in |
| Sheet Size: | 8-1/2 x 11 in |
| Sheet Width: | 8-1/2 in |
| Ships in: | 1 to 3 Business Days (Plus time in transit) |
| Size: | 8-1/2 x 11 in |
Reviews:
We’re currently collecting product reviews for this item. In the meantime, here are some from our past customers sharing their overall shopping experience:
4.8
Out of 5.0
Overall Rating
97%
of customers that buyfrom this merchant give
them a 4 or 5-Star rating.
February 24, 2026 by Ruben G
“Easy and Quick hope the printing is nice looking.”
January 20, 2026 by Nina R
“Good pricing, easy to order, and fast shipping”
January 8, 2026 by George A
“I hope it's what I'm looking for. Please let it be. LOL Thanks.”
December 3, 2025 by Jimmy D
“Love the reminder that it's time to re-order.”
November 6, 2025 by Robin B
“Claire in customer service was wonderful. Got a small issue with availability on the website handled immediately for me.”
