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$45.97
FORM,PATIENT SIGN-IN,BE
Model: 14531
Model: 14531
FORM,PATIENT SIGN-IN,BE
$45.97 ($0.37/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. Blue Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.
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
Dated/Undated
Undated
Form Size
8.5 x 11.63
Forms Per Page
1
Global Product Type
Medical Admission Forms
Number of Entry Lines
23
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
Special Features
Blue Sheets
Total Recycled Content Percent
0%
Color Family
Blue
Columns per Sheet
6
Form Type Details
Medical Admission
Format Indicator
Unbound
Form Quantity (Total)
125
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
GTIN Item
084371145317
UPC Retail
084371145317
UPC Carton
10084371145314
Brand
Brand Contact
(630) 773-4160
Manufacturer Stock No.
217694
Country of Origin
US
UNSPSC Number
14111806
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Officecrave.com is a national retailer of office supplies including technology products, maintenance supplies, furniture and more. We always aim to provide businesses with the best price on the highest-quality items and the Tabbies Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue, 1/Page, 125 Forms (14531) is no exception.
We work with customers 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, Two-Part Carbon, 8.5 x 11.63, Blue, 1/Page, 125 Forms (14531) are manufactured under ISO 9001 Quality Standards. We also offer 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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