Free Shipping
Follow Us:
Search
To order by phone or for product assistance Call Toll Free: 855-632-8520

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

$211.08$198.34$192.19$185.62$180.21
SALE$196.30$184.46$178.74$172.63$167.60

Volume Savings6%8.9%12.1%14.6%

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
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:B00E8WURNQBackground Color:White
Brand:The Business Form Supplies ShopFeature 6:A special back printing prevents writing from showing on the liner
Feature 7:Printing on the liner directs patients to sign the next lineFeature 8:250 Sheets / Lot
Carbonless:YesColor:White
Condition:NewCurrency:USD
Pre-Printed:YesPackage Height:11 in
Package Weight:5.00 LBPackage Width:8-1/2 in
Material:PaperCountry of Origin:USA
Manufacturer Part Number:CAR23-85113Number of Items:250
Paper Size:Letter inPaper Type:Laser Paper
Paper Weight Sequence:24 lbPerforation:Yes
Perforation Orientation:VerticalPoint Size / Basis Weight:24#
Sheet Length:11 inSheet Size:8-1/2 x 11 in
Sheet Width:8-1/2 inShips 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 buy
from this merchant give
them a 4 or 5-Star rating.
Five Star Excellence Award
Verified Buyer
April 5, 2024 by R.B. (Wisconsin, United States)
“Been pleased with the products and prices are comparable or better than other suppliers.”
Verified Buyer
December 27, 2023 by DESIREE S
“Very easy to reorder”
Verified Buyer
December 18, 2023 by Rose Ann E
“Clicked on the link, ordered what I wanted and was done in less than 5 minutes. Great site.”
Verified Buyer
December 14, 2023 by Stephen Alan E
“good job”
Verified Buyer
November 26, 2023 by Kevin M
“very easy quick like a snap”

The Supplies Shops BBB Business Review Government Contracting Information Authorize.Net Merchant - Click to Verify SSL Customer Reviews
Please fill out the form below to request special volume pricing on the product CAR23-85113.

Thank you for requesting volume pricing.

We will contact you with your volume pricing shortly.

If you have any questions, please contact us at 855-632-8520.

Please fill out the form below to request additional information on the product CAR23-85113.

Thank you for your request!

We will contact you with additional information about this product shortly.

If you have any questions, please contact us at 855-632-8520.