Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total, GENERAL FORMS - GoAVM.com
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Call/Text 423-847-4700
Since 1982

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

Quick Find
: 8429821

Casepack
: 125

UOM
: PK

Model #
: 14531

SKU
: TAB14531

$85.55
/ PK
This product qualifies for quantity discount pricing.
QuantityPer Item Price
1-5$85.55
6-10$83.65
11+$82.38

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