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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
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    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.   

     

     

    Please note all our products may not be published on our website, prices may vary time to time and some items may be discontinued or replaced so we kindly request you to send us an email at sales@filingtoday.com or call us at 1-888-891-1970 for more details

     
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