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Price per Box of 200 | 2+ Boxes | 5+ Boxes | 10+ Boxes | 20+ Boxes |
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Confidential Patient Sign In Logs protect patient sign in information in compliance of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). These 8-1/2" x 11" white confidential patient sign in logs include 20 peel off sign in lines to collect patient sign in information while protecting patient confidentiality. Our BF-CSL-20 confidential patient sign in log have a 3 hole punch on the left to allow the forms to be secured inside a 3 ring notebook, black ink, 100 per Polywrap. Ideally used in medical facilities such as hospitals, clinics, urgent care, and rehabilitation centers.
Adhesive Type: | Permanent Adhesive | Block Out Backer: | Yes | |
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Brand: | HFS | Carbonless: | No | |
Color: | White | Condition: | New | |
Currency: | USD | For Use With: | 3 Ring Binder | |
Form Number: | Confidential Patient Sign-In Log | Hole Diameter: | 1/4 in | |
Hole Punched Position: | Left | Holes Punched: | Yes | |
Pre-Printed: | Yes | Package Height: | 11-5/8 in | |
Package Weight: | 10.00 LB | Package Width: | 8-1/2 in | |
Material: | Paper | Country of Origin: | USA | |
Manufacturer Part Number: | CSL-20 | Number of Holes: | 3 | |
Number of Items: | 100 | Number of Parts: | 3 | |
Paper Color Sequence: | White / Carbon Interleaf / White | Paper Size: | Letter in | |
Paper Type: | Bond | Paper Weight Sequence: | 20 lb / Carbon Interleaf / 20 lb | |
Perforation: | Yes | Perforation Orientation: | Horizontal/Vertical | |
Point Size / Basis Weight: | 20# | Related Products: | BF-PSL-20 | |
Sheet Length: | 11 in | Sheet Size: | 8-1/2 x 11 in | |
Sheet Width: | 8-1/2 in | Ships in: | 2 to 3 Business Days (Plus time in transit) | |
Side Perforations: | No | Size: | 8-1/2 x 11-5/8 in | |
Text Color: | Black |
Adhesive Type: | Permanent Adhesive |
---|---|
Block Out Backer: | Yes |
Brand: | HFS |
Carbonless: | No |
Color: | White |
Condition: | New |
Currency: | USD |
For Use With: | 3 Ring Binder |
Form Number: | Confidential Patient Sign-In Log |
Hole Diameter: | 1/4 in |
Hole Punched Position: | Left |
Holes Punched: | Yes |
Pre-Printed: | Yes |
Package Height: | 11-5/8 in |
Package Weight: | 10.00 LB |
Package Width: | 8-1/2 in |
Material: | Paper |
Country of Origin: | USA |
Manufacturer Part Number: | CSL-20 |
Number of Holes: | 3 |
Number of Items: | 100 |
Number of Parts: | 3 |
Paper Color Sequence: | White / Carbon Interleaf / White |
Paper Size: | Letter in |
Paper Type: | Bond |
Paper Weight Sequence: | 20 lb / Carbon Interleaf / 20 lb |
Perforation: | Yes |
Perforation Orientation: | Horizontal/Vertical |
Point Size / Basis Weight: | 20# |
Related Products: | BF-PSL-20 |
Sheet Length: | 11 in |
Sheet Size: | 8-1/2 x 11 in |
Sheet Width: | 8-1/2 in |
Ships in: | 2 to 3 Business Days (Plus time in transit) |
Side Perforations: | No |
Size: | 8-1/2 x 11-5/8 in |
Text Color: | Black |