Description: PACK WITH 50 FORMS COLOR BLUE 3 PART CARBONLESS 8 1/2" x 11 5/8"Meet the privacy and confidentiality requirements of HIPAA.After a patient signs in, the receptionist peels the label off and attaches to a patient’s chart or route slip.After label is removed, no patient information is visible to patients arriving later.Each sheet has 25 patient sign-in lines, numbered, with an adhesive strip label.The Sign-in Sheet asks new patients and those with a new address, phone number or insurance to identify themselves, so staff can gather needed information. The Sign-in Sheet asks new patients and those with a new address, phone number or insurance to identify themselves, so staff can gather needed information.
Price: 29.99 USD
Location: Chicago, Illinois
End Time: 2024-09-10T23:44:59.000Z
Shipping Cost: N/A USD
Product Images
Item Specifics
Return shipping will be paid by: Buyer
All returns accepted: Returns Accepted
Item must be returned within: 30 Days
Refund will be given as: Money Back
Brand: Quality Forms
Type: 3 Part Patient Sign-In
MPN: NDL1703
Country/Region of Manufacture: United States
