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High Density Mobile Storage, Filing Cabinets, Shelving Systems, Mailroom Furnitures, Fireproof File Cabinets, Modular Furniture Systems, Bar-Code Tracking Systems, Color Label Systems, Records and Document Management Software, Color-Coded Filing, Custom Folders, Space Planning Consultations, File Conversions and Relocations


American Filing Solutons
 

Nationwide Sales, Distribution, Assembly, Installation, Relocation Services

About Us - See Our Video   |  E-mail: sales@FilingToday.com  |  Quantity Discounts Available. Call 1-888-891-1970 or 1-951-694-4150  |  Contact Us

 

  MEDICAL OFFICE SUPPLIES
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  •  

    Healthcare Forms - Patient Sign-In Forms

     

    Confidential Patient Sign-In Label Forms.

    Confidentially sign in your patients with patient sign-in label forms. Forms limit access to personal information as required by HIPAA compliance regulations.

     

    Patients sign in on next available removable numbered label strip. Patient then takes the numbered label 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 recordkeeping. Once label strips have been removed, the patient information is now protected behind special backing paper. The Sign-In form also provides a confidential daily patient log.

     

    These patients sign-in forms are ideal for medical offices, doctor offices, dentist offices, hospitals, labs and more.

     

    • Specifications
    • Images
    • Shipping

    Healthcare Forms - Patient Sign-In Forms

     

  • HIPAA compliant
  • Sign-In Forms available in English or English/Spanish Bilingual
  • Color: Salmon, Blue and Green
  • Size: 8-1/2"W x 11"H
  • 23 line per sheet
  • 125 sheet per package
  • Price per package
  • 6 package per carton
  • Color: Salmon

    Item no. 14530, Salmon.

    Color: Blue

    Item no. 14530, Blue.

    Color: Green

    Item no. 14530, Green

    Shipping require additional quotation. Please contact us at 1-888-891-1970 or email at sales@filingtoday.com for a quote or additional information.

     

     

     

    Item No. Description Color Size Qty Price
    14541 English/Spanish Bilingual Patient Sign-In Forms, Blue Blue 8-1/2" x 11" 125/Pk $59.75
    14530 English Patient Sign-In Forms, Salmon Salmon 8-1/2" x 11" 125/Pk $59.75
    14531 English Patient Sign-In Forms, Blue Blue 8-1/2" x 11" 125/Pk $59.75
    14532 English Patient Sign-In Forms, Green Green 8-1/2" x 11" 125/Pk $59.75

    Faxable Order Form (PDF).   On-Line Order Form.   

     

     
    On GSA Contract.
    4Post Personal Storage Locker.
    4Post Personal Storage Locker
    Center Tab Out Guides.
    Out Guides
    Custom Indexes Chart Divider Sets.
    Custom Indexes Chart Divider sets
    Filing Accessories.
    Filing Accessories
    ColorBar Labels Design Printing Software.
    ColorBar Labels Design Software
    Build the perfect folder for your filing needs.
    LapTop Storage Locker.
    LapTop Storage Locker
    Mobile Carts, Industrial Service Carts, Utility Carts.
    Mobile Service Carts & Utility Carts
    Large Documents Storage Filing Solutions.
    Vertical Large Document Filing
       
    This page last updated 10/25/2016
     
      

    Minimum Orders:
    Effective June 1, 2013, our minimum order is $50.00. A $10.00 charge will apply on any product order of less than our minimum order amount. All orders are subject to a minimum shipping/handling charge of $15.95. All verbal / faxed / or emailed orders will be processed within 24-48 hours. Once you have placed your order via fax, email or telephone, you will receive an order acknowledgement via email or fax to confirm receipt of your order, including any estimated shipping/delivery charge if requested. You may call or email us in advance for the estimated charges. Click here for a faxable order form to place an order or to obtain a quote.

     
    Prices & Specifications Subject To Change Without Notice. Terms & Conditions Apply.