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TAB14532 TAB14532
TAB14532 TAB14532
TAB14532 TAB14532
TAB14532 TAB14532
TAB14532 TAB14532

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms Total

OUT OF STOCK
Category Forms
Manufacturer TABBIES

Fetching product details


Description

Confidentially sign in your patients. Forms limit access to personal information as required by HIPAA. Patient signs in and waits to be called by name or number. Office staff removes numbered label strip with patient name and adheres it to patient chart to help improve record keeping. Once label strips have been removed, the patient information is now protected behind special backing paper. The sign-in form also provides confidential daily patient log. Forms numbered 1 - 23. Green Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.
UNSPSC Code

14111806

Weight

4.95lb

Height

1.75in

Width

8.5in

Brand

TABBIES

Category

Forms

Copy Types

Two-Part Carbon

Finish

Label Stock

Form Quantity

125

Form Size

8.5 x 11.63

Forms Per Page

1

Global Product Type

Forms-Medical Admissions

Layout

One Form per Sheet

Number of Columns

6

Number of Entry Lines

23

Numbering

Preprinted Entry Lines

Numbering Color(s)

Black

Paper Color(s)

Green

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit

Print and Ruling Color(s)

Black

Sheet Size

8.5 x 11.63

Total Number of Entries per Book

2,875

Total Recycled Content Percent

0%

Starting from
$86.48 / PK
/
%
- +
Compare
TAB14532 TAB14532
TAB14532 TAB14532
TAB14532 TAB14532
TAB14532 TAB14532
TAB14532 TAB14532

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms Total

OUT OF STOCK
Category Forms
Manufacturer TABBIES

Fetching product details


Description

Confidentially sign in your patients. Forms limit access to personal information as required by HIPAA. Patient signs in and waits to be called by name or number. Office staff removes numbered label strip with patient name and adheres it to patient chart to help improve record keeping. Once label strips have been removed, the patient information is now protected behind special backing paper. The sign-in form also provides confidential daily patient log. Forms numbered 1 - 23. Green Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.
UNSPSC Code

14111806

Weight

4.95lb

Height

1.75in

Width

8.5in

Brand

TABBIES

Category

Forms

Copy Types

Two-Part Carbon

Finish

Label Stock

Form Quantity

125

Form Size

8.5 x 11.63

Forms Per Page

1

Global Product Type

Forms-Medical Admissions

Layout

One Form per Sheet

Number of Columns

6

Number of Entry Lines

23

Numbering

Preprinted Entry Lines

Numbering Color(s)

Black

Paper Color(s)

Green

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit

Print and Ruling Color(s)

Black

Sheet Size

8.5 x 11.63

Total Number of Entries per Book

2,875

Total Recycled Content Percent

0%

Starting from
$86.48 / PK
/
%
- +
Compare
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