Nashville Office Products and Supplies - Printer Supply Warehouse

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon, 1/Page, 125 Forms

Manufacturer: TABBIES
Availability: In stock
SKU: TAB14530
Manufacturer part number: 14530
MSRP: $83.00
$75.48
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. Form Size: 8.5 x 11.63; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.
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. Form Size: 8.5 x 11.63; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.
Products specifications
Attribute nameAttribute value
Paper Color(s)Salmon
FinishLabel Stock
Global Product TypeForms-Medical Admissions
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Form Size8.5 x 11.63
Forms Per Page1
Number of Entry Lines23
Form Quantity125
Sheet Size8.5 x 11.63
Principal Heading(s)Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
Number of Columns6
LayoutOne Form per Sheet
NumberingPreprinted Entry Lines
Copy TypesTwo-Part Carbon
Total Number of Entries per Book2,875
Print and Ruling Color(s)Black
Numbering Color(s)Black