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$36.56
Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue, 1/Page, 125 Forms
Model: 14531
Model: 14531
Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue, 1/Page, 125 Forms
$36.56 $38.48 ($0.29/EA)
In Stock 1-2 Day Delivery
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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. Form Size: 8.5 x 11.63; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.
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
Categories
MPN
TAB14531
Model#
14531
UPC Code
084371145317
UNSPSC Code
0
Copy Types
Two-Part Carbon
Finish
Label Stock
Form Quantity
125
Form Size
8.5 x 11.63
Forms Per Page
1
Global Product Type
Forms-Medical Admissions
Layout
One Form per Sheet
Number of Columns
6
Number of Entry Lines
23
Numbering
Preprinted Entry Lines
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
TAA Compliant
Yes
Total Number of Entries per Book
2,875
Total Recycled Content Percent
0%
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
Brand
Brand Contact
(630) 773-4160
Manufacturer Stock No.
14531
Country of Origin
US
UNSPSC Number
14111806
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Officecrave.com is a leader in office supplies and business supplies including technology products, maintenance supplies, furniture and more. Our goal is to provide businesses with the lowest price on the highest-quality items and the Tabbies Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue (14531) is no exception.
Our customers are from all industries, including schools, government, medical, accounting, corporate, educational, healthcare, finance, military and private industry.
All products on OfficeCrave.com including the Tabbies Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Blue (14531) are manufactured under ISO 9001 Quality Standards. We also stock a full line of TAA compliant products. Being green is an important part of our business and we are meeting all Green Compliance Standards.
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