Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Green
- Product Type : Forms
- Item # : TAB14532
Quick Overview
- 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.
Add Line NoteGeneral Information
Manufacturer
TABBIES
Manufacturer Part Number
14532
Global Product Type
Forms-Medical Admissions
Form Size
8.5 x 11.63
Number of Columns
6
Forms Per Page
1
Number of Entry Lines
23
Form Quantity
125
Sheet Size
8.5 x 11.63
Principal Heading(s)
Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
Layout
One Form per Sheet
Numbering
Preprinted Entry Lines
Copy Types
Carbon Duplicate
Total Number of Entries per Book
2875
Paper Color(s)
Green
Print and Ruling Color(s)
Black
Numbering Color(s)
Black
Finish
Label Stock
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Country of Origin
US
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