Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon Sheets, 125 Forms Total
- 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.
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. Salmon Sheets. Form Type Details: Medical Admission; Dated: No; Forms Per Page: 1; Form Size: 8.5 x 11.63.
Products specifications
|
Pre-Consumer Recycled Content Percent
|
0% |
|
Post-Consumer Recycled Content Percent
|
0% |
|
Total Recycled Content Percent
|
0% |
|
Forms Per Page
|
1 |
|
Number of Entry Lines
|
23 |
|
Sheet Size
|
8.5 x 11.63 |
|
Form Size
|
8.5 x 11.63 |
|
Print and Ruling Color(s)
|
Black |
|
Numbering Color(s)
|
Black |
|
Principal Heading(s)
|
Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit |
|
Color Family
|
Pink |
|
Paper Color(s)
|
Salmon |
|
Copy Types
|
Two-Part Carbon |
|
Special Features
|
Salmon Sheets |
|
Form Quantity (Total)
|
125 |
|
Form Type Details
|
Medical Admission |
|
Format Indicator
|
Unbound |
|
Global Product Type
|
Medical Admission Forms |
|
Columns per Sheet
|
6 |
|
Product Biodegradability Indicator
|
N |
|
Product Compostability Indicator
|
N |
|
Product Biodegradability in Days
|
0 |
|
Dated
|
No |