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Tabbies Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total (14531)

Tabbies Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total (14531)

Regular price $49.99
Regular price Sale price $49.99
Sale Sold out

Type : Office Supplies

SKU : TAB14531

Tags : All, Forms, Office Supplies, Tabbies,

Collections : All products, Forms, Office Supplies, Tabbies,

Availability : In Stock

Shipping & Returns

Returns available on all orders

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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. Blue Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.

Features

  • Forms limit access to personal information as required by HIPAA.

  • Once label strip is removed the patient information is now protected behind special backing paper.

  • Can be used as confidential daily patient log as well as sign-in sheet.

Manufacturer

MPN

TAB14531

Model#

14531

UPC Code

084371145317

UNSPSC Code

0

Copy Types

Two-Part Carbon

Dated/Undated

Undated

Form Size

8.5 x 11.63

Forms Per Page

1

Global Product Type

Number of Entry Lines

23

Numbering Color(s)

Black

Paper Color(s)

Blue

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

Special Features

Blue Sheets

Total Recycled Content Percent

0%

Color Family

Blue

Columns per Sheet

6

Form Type Details

Medical Admission

Format Indicator

Unbound

Form Quantity (Total)

125

Assembly Required

No assembly is required

Contains Recycled Materials

N

Green Product

N

Unit of Measure

PK

Item Weight

4.95

Ships via UPS

Y

Carton Pack Quantity

6 PK

Pack Quantity

125 EA

This item is sold by the

PK which contains 125 EA

GTIN Item

084371145317

UPC Retail

084371145317

UPC Carton

10084371145314

Brand

Brand Contact

(630) 773-4160

Manufacturer Stock No.

14531

Country of Origin

US

UNSPSC Number

14111806