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Green Confidential Patient Sign-In Label Forms, 8-1/2" x 11", 23 Peel Off Adhesive Sign In Lines (125 Forms per Pack)

Item Number: S-14532
3 reviews

Pricing:

Price per
Pack of 125
2+
Packs
5+
Packs
10+
Packs
20+
Packs

$37.49 $37.19$36.59$35.85$35.39

Volume Savings0.8%2.4%4.4%5.6%

Need 30+ Packs? Contact us 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
  • Patient Privacy Sign-In Sheet
Qty:
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Description:

HIPAA Compliant confidential patient sign-in sheet forms with peel off labels. 8.5" x 11" forms with 23 peel off labels used to keep patient sign in logs confidential. Once completed the special backer has a complete log of the patient visits for the day. Green color background with fields for name, arrival time, appointment time, appointment with, new patient check box and change of address, phone and insurance since the last visit.

Specifications:
ASIN:B01409V6QSBackground Color:Green
Brand:TabbiesFeature 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 8:125 Sheets / Pack
Carbonless:YesColor:Green
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:14532Number of Items:125
Paper Size:LetterSheet Length:11 in
Sheet Size:8-1/2 x 11 inSheet Width:8-1/2 in
Ships in:1 to 3 Business Days (Plus time in transit)Size:8-1/2 x 11 in
Text Color:BlackUPC:84371145324
ASIN:B01409V6QS
Background Color:Green
Brand:Tabbies
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 8:125 Sheets / Pack
Carbonless:Yes
Color:Green
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:14532
Number of Items:125
Paper Size:Letter
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
Text Color:Black
UPC:84371145324
Reviews:
5
Out of 5.0
Overall Rating
100%
of customers that
buy this product give
it a 4 or 5-Star rating.
Five Star Excellence Award
Verified Buyer
March 12, 2020 by Marlene Z D (MD, United States)
“It's ok”
Verified Buyer
June 29, 2018 by Stacy A (NJ, United States)
“Received quickly”
Verified Buyer
August 15, 2017 by Jennifer R (NC, United States)
“Very economical, useful, confidential & helpful to our practice.”

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