Patient Sign-in Label Forms, Two-part Carbon, 8.5 X 11.63, Salmon Sheets, 125 Forms Total
Patient Sign-in Label Forms, Two-part Carbon, 8.5 X 11.63, Salmon Sheets, 125 Forms Total
- Item #: TAB14530
- Brand: Tabbies®
- Type: Office
628 in stock
Regular price
$52.99
Regular price
Sale price
$52.99
Unit price
/
per
Fast 2 Day Shipping
in lower 48 states
Usually Ships in 2 Days
Hassle-free returns
About this item
- Product Details
- Specifications
- Write a Review
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.
Color Family | Pink |
Columns per Sheet | 6 |
Copy Types | Two-Part Carbon |
Dated/Undated | Undated |
Form Quantity (Total) | 125 |
Form Size | 8.5 x 11.63 |
Form Type Details | Medical Admission |
Format Indicator | Unbound |
Forms Per Page | 1 |
Global Product Type | Medical Admission Forms |
Number of Entry Lines | 23 |
Numbering Color(s) | Black |
Paper Color(s) | Salmon |
Post Recycled % | 0% |
Principal Heading(s) | Any Changes Since Last Visit |
Print and Ruling Color(s) | Black |
Recycled Content % | 0% |
Sheet Size | 8.5 x 11.63 |
Ship Class Code | M |
Special Features | Salmon Sheets |
Total Recycled % | 0% |
Customers Who Viewed This Also Viewed
-
Part 0032797
-
Part BWKFF40
Flash Forty Disposable Dustmop, Cotton, 5", Natural
Regular price $86.99Regular priceUnit price / per -
Part MMM70006578119
Sharp Lines Multi-surface Painter's Tape, 3" Core, 0.94" X 60 Yds, Blue
Regular price $8.99Regular priceUnit price / per -
Part RVR200CL
200c Yellow Classic Rain Coat, Large
Regular price $14.99Regular priceUnit price / per -
Part VEK191157
Sticky-back Fasteners, Hook Side, 1.5" X 75 Ft, White
Regular price $74.99Regular priceUnit price / per -
Part IBSVALH4348N14
High-density Commercial Can Liners Value Pack, 60 Gal, 12 Microns, 43" X 46", Clear, 200/carton
Regular price $44.99Regular priceUnit price / per -
Part SER1SW20X30QF
Tissue Paper, 20 X 30, White, 480 Sheets/ream
Regular price $22.99Regular priceUnit price / per -
Part SMD67429
Numerical End Tab File Folder Labels, 9, 1.5 X 1.5, Black, 250/roll
Regular price $14.99Regular priceUnit price / per -
Part EPSERC38B
Erc38b Ribbon, Black
Regular price $1.99Regular priceUnit price / per
Related Products
-
Part BWKW16
- Choosing a selection results in a full page refresh.
- Opens in a new window.