Tabbies 14531 Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue (TAB14531)

Price: $97.49
Summary
  • 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.

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. Form Size: 8 1/2 x 11 5/8; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.

Product Specs

Global Product TypeForms-Medical Admissions
Form Size8 1/2 x 11 5/8
Number of Columns6
Forms Per Page1
Number of Entry Lines23
Form Quantity125
Sheet Size8 1/2 x 11 5/8
Principal Heading(s)Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
LayoutOne Form per Sheet
NumberingPreprinted Entry Lines
Copy TypesCarbon Duplicate
Total Number of Entries per Book2875
Paper Color(s)Blue
Print and Ruling Color(s)Black
Numbering Color(s)Black
FinishLabel Stock
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Country of OriginUS
Carton Weight33 lbs.
Carton Pack Quantity6 PK
UNSPSC14111806

Shipping Weight & Item Dimensions

Weight33
Width9
Height11
Depth12

National Chemical Laboratories
Victory Innovations