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Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue

  • SKU T017-14531
  • MPN 14531

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.

Specifications

Form Type Details
Medical Admission
Global Product Type
Medical Admission Forms
Dated/Undated
Undated
Forms Per Page
1
Form Size
8.5 x 11.63
Sheet Size
8.5 x 11.63
Format Indicator
Unbound
Form Quantity (Total)
125
Copy Types
Two-Part Carbon
Principal Heading(s)
Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
Columns per Sheet
6
Number of Entry Lines
23
Paper Color(s)
Blue
Color Family
Blue
Print and Ruling Color(s)
Black
Numbering Color(s)
Black
Product Biodegradability in Days
0
Pre-Consumer Recycled Content Percent
0
Post-Consumer Recycled Content Percent
0
Total Recycled Content Percent
0
Special Features
Blue Sheets
Brand
Tabbies
Manufacturer
TABBIES