$83.00
In Stock
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.
| Weight | 4.95 lbs |
|---|---|
| Dimensions | 11.63 × 8.50 × 1.75 in |
| Brand | Tabbies® |
| Color Family | Green |
| Columns per Sheet | 6 |
| Copy Types | Carbon, Two-Part |
| Dated | No |
| Form Quantity (Total) | 125 |
| Form Size | 11.63, 8.5, x |
| Form Type Details | Admission, Medical |
| Format Indicator | Unbound |
| Forms Per Page | 1 |
| Global Product Type | Admission, Forms, Medical |
| MPN | TAB14532 |
| Number of Entry Lines | 23 |
| Numbering Color(s) | Black |
| Paper Color(s) | Green |
| Principal Heading(s) | Date |
| Print and Ruling Color(s) | Black |
| Sheet Size | 11.63, 8.5, x |
| Ship Class Code | M |
| Special Features | green, Sheets |
| UPC | 084371145324 |
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