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Salmon 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-14530
5 reviews

Pricing:

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

$61.29$56.65$54.29$53.66$52.75
SALE$57.00$52.68$50.49$49.90$49.06

Volume Savings7.6%11.4%12.5%13.9%

Need 30+ Packs? 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
  • Patient Privacy Sign-In Sheet
Sale Ends: 04/30/2024
Qty:
Sorry, we only have 10000 in stock. Sorry, please order at least 1. Invalid input.

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Description:

Keep sensitive patient information secure with salmon-colored confidential patient sign-in label forms. Patient sign in sheets are made with a special liner page that has peelable labels to remove patient information from the front, and transfers data to a back page to provide a full record of patient visits for the day, while not allowing any of the data to show through the liner. Measuring 8.5" x 11" in size, they include printed fields for name, arrival time, appointment time, appointment with, new patient check box, and change of address, phone and insurance since the last visit. They are also HIPPA compliant. Each pack contains 125 forms.

Order now and get free shipping when you spend more than $99. You’ll also get a volume discount of more than 5% when you order 20 or more packs. Have questions about our confidential patient sign-in label forms or any of the other products we offer? Our friendly customer service representatives are standing by and eager to help. Just send us an email at [email protected] or give us a call toll free at 855-632-8520. You can also ask us about our customization options, including custom-printed envelopes, business forms, adhesive tape, printed labels, and more.

Specifications:
ASIN:B004E3CO76Background Color:Salmon
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:Salmon
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:14530Number 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:84371145300
ASIN:B004E3CO76
Background Color:Salmon
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:Salmon
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:14530
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:84371145300
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 18, 2020 by teresita c (GA, United States)
“Great product and easy to use!”
Verified Buyer
April 22, 2019 by DEBBIE H (AL, United States)
“This sign in sheet is just what we needed. It has all the information we needed to capture the arrival time/appointment time.”
Verified Buyer
November 20, 2018 by Cyndia F
“Just what we were looking for!”

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