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![](https://suppliesshops.gumlet.io/images/S-14532.jpg "Green Confidential Patient Sign-In Label Forms, 8-1/2\")
Green Confidential Patient Sign-In Label Forms, 8-1/2" x 11", 23 Peel Off Adhesive Sign In Lines (125 Forms per Pack)
Item Number: S-14532
4 reviews
Pricing:
| Price per Pack of 125 | 2+ Packs | 5+ Packs | 10+ Packs | 20+ Packs |
| $61.29 | $56.65 | $54.29 | $53.66 | $52.75 |
| Volume Savings | 7.6% | 11.4% | 12.4% | 13.9% |
| Need 30+ Packs? Click here for Pricing | ||||
- HIPPA Compliant (HIPPA Privacy Rule, Section 164.502)
- Second Sheet is a complete record of all patients seen that day
- Option to call patients by name or number
- Carbonless
- Patient Privacy Sign-In Sheet
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Description:
HIPAA Compliant confidential patient sign-in sheet forms with peel off labels. 8.5" x 11" forms with 23 peel off labels used to keep patient sign in logs confidential. Once completed the special backer has a complete log of the patient visits for the day. Green color background with fields for name, arrival time, appointment time, appointment with, new patient check box and change of address, phone and insurance since the last visit.
Specifications:
| ASIN: | B01409V6QS | Background Color: | Green | |
|---|---|---|---|---|
| Brand: | Tabbies | Feature 6: | A special back printing prevents writing from showing on the liner | |
| Feature 7: | Printing on the liner directs patients to sign the next line | Feature 8: | 125 Sheets / Pack | |
| Carbonless: | Yes | Color: | Green | |
| Condition: | New | Currency: | USD | |
| Pre-Printed: | Yes | Package Height: | 11 in | |
| Package Weight: | 5.00 LB | Package Width: | 8-1/2 in | |
| Material: | Paper | Country of Origin: | USA | |
| Manufacturer Part Number: | 14532 | Number of Items: | 125 | |
| Paper Size: | Letter | Sheet Length: | 11 in | |
| Sheet Size: | 8-1/2 x 11 in | Sheet Width: | 8-1/2 in | |
| Ships in: | 1 to 3 Business Days (Plus time in transit) | Size: | 8-1/2 x 11 in | |
| Text Color: | Black | UPC: | 84371145324 |
| ASIN: | B01409V6QS |
|---|---|
| Background Color: | Green |
| Brand: | Tabbies |
| Feature 6: | A special back printing prevents writing from showing on the liner |
| Feature 7: | Printing on the liner directs patients to sign the next line |
| Feature 8: | 125 Sheets / Pack |
| Carbonless: | Yes |
| Color: | Green |
| Condition: | New |
| Currency: | USD |
| Pre-Printed: | Yes |
| Package Height: | 11 in |
| Package Weight: | 5.00 LB |
| Package Width: | 8-1/2 in |
| Material: | Paper |
| Country of Origin: | USA |
| Manufacturer Part Number: | 14532 |
| Number of Items: | 125 |
| Paper Size: | Letter |
| Sheet Length: | 11 in |
| Sheet Size: | 8-1/2 x 11 in |
| Sheet Width: | 8-1/2 in |
| Ships in: | 1 to 3 Business Days (Plus time in transit) |
| Size: | 8-1/2 x 11 in |
| Text Color: | Black |
| UPC: | 84371145324 |
Reviews:
5
Out of 5.0
Overall Rating
100%
of customers that buy this product give
it a 4 or 5-Star rating.
June 3, 2022 by Jen R (NC, United States)
“Great value, HIPAA-compliance & fast shipping!”
March 12, 2020 by Marlene Z D (MD, United States)
“It's ok”
June 29, 2018 by Stacy A (NJ, United States)
“Received quickly”
