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Patient Sign-in Sheets, HIPAA Compliant, 8-1/2" x 11" Carbonless Form, Burgandy (Pack of 125)

Please be aware orders placed now will not arrive in time for Christmas, please check delivery times.

Patient Sign-in Sheets, HIPAA Compliant, 8-1/2" x 11" Carbonless Form, Burgandy (Pack of 125)
- Each package contains 125 sheets with 25 signature lines per sheet (accomodates 3,125 total visits).
- These sign-in sheets meet the privacy and confidentiality requirements of HIPAA.
- The carbonless forms allows patients to sign-in without seeing other patent's confidential information.
- These sign-in sheets are blue.
- BUY 5, SAVE 10%
These HIPAA compliant patient sign-in sheets are a two part carbonless form with room for 25 signatures per page. Each patient prints their name and additional information on a numbered line. The office staff then removes the signed name label and either adds to the patient file or to a workflow tracking system. Once the label has been removed, the patient's contact information is protected and only available to the office staff.
Country USA
Brand Ecom Folders
Manufacturer Ecom Folders
Binding Office Product
ItemPartNumber S-9355-BUR
Color Burgundy
ReleaseDate 0000-00-00

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