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

Item Code: TAB14532

Category Forms

Manufacturer TABBIES

Manufacturer Ref TAB14532

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Description

Specifications

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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: No; Forms Per Page: 1; Form Size: 8.5 x 11.63.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

4.95lb

Height

1.75in

Width

8.5in

Length

11.63in

Brand

TABBIES

Category

Forms

Color Family

Green

Columns per Sheet

6

Copy Types

Two-Part Carbon

Dated

No

Form Quantity (Total)

125

Form Size

8.5 x 11.63

Form Type Details

Medical Admission

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Medical Admission Forms

Number of Entry Lines

23

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

Product Biodegradability Indicator

N

Product Compostability Indicator

N

Sheet Size

8.5 x 11.63

Special Features

Green Sheets

Total Recycled Content Percent

0%

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Starting from

$83.00

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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: No; Forms Per Page: 1; Form Size: 8.5 x 11.63.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

4.95lb

Height

1.75in

Width

8.5in

Length

11.63in

Brand

TABBIES

Category

Forms

Color Family

Green

Columns per Sheet

6

Copy Types

Two-Part Carbon

Dated

No

Form Quantity (Total)

125

Form Size

8.5 x 11.63

Form Type Details

Medical Admission

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Medical Admission Forms

Number of Entry Lines

23

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

Product Biodegradability Indicator

N

Product Compostability Indicator

N

Sheet Size

8.5 x 11.63

Special Features

Green Sheets

Total Recycled Content Percent

0%

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