| Price per Pack of 125 | 2+ Packs | 5+ Packs | 10+ Packs | 20+ Packs |
| $61.29 | $56.65 | $54.29 | $53.66 | $52.75 |
| Savings | 7.6% | 11.4% | 12.4% | 13.9% |
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.
| ASIN: | B01409V6QS |
|---|---|
| Background Color: | Green |
| Brand: | Tabbies |
| Feature 1: | HIPPA Compliant (HIPPA Privacy Rule, Section 164.502) |
| Feature 2: | Second Sheet is a complete record of all patients seen that day |
| Feature 3: | Option to call patients by name or number |
| Feature 4: | Carbonless |
| Feature 5: | Patient Privacy Sign-In Sheet |
| 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 |