| Price per Pack of 125 | 2+ Packs | 5+ Packs | 10+ Packs | 20+ Packs |
| $61.29 | $56.65 | $54.29 | $53.66 | $52.75 |
| Savings | 7.6% | 11.4% | 12.4% | 13.9% |
Keep sensitive patient information secure with salmon-colored confidential patient sign-in label forms. Patient sign in sheets are made with a special liner page that has peelable labels to remove patient information from the front, and transfers data to a back page to provide a full record of patient visits for the day, while not allowing any of the data to show through the liner. Measuring 8.5" x 11" in size, they include printed fields for name, arrival time, appointment time, appointment with, new patient check box, and change of address, phone and insurance since the last visit. They are also HIPPA compliant. Each pack contains 125 forms.
Order now and get free shipping when you spend more than $99. You’ll also get a volume discount of more than 5% when you order 20 or more packs. Have questions about our confidential patient sign-in label forms or any of the other products we offer? Our friendly customer service representatives are standing by and eager to help. Just send us an email at info@suppliesshops.com or give us a call toll free at 855-632-8520. You can also ask us about our customization options, including custom-printed envelopes, business forms, adhesive tape, printed labels, and more.
| ASIN: | B004E3CO76 |
|---|---|
| Background Color: | Salmon |
| Brand: | Tabbies |
| Feature 1: | HIPPA Compliant (HIPPA Privacy Rule, Section 164.502) |
| Feature 2: | Second Sheet is a complete record of all patients seen that day |
| Feature 3: | Option to call patients by name or number |
| Feature 4: | Carbonless |
| Feature 5: | Patient Privacy Sign-In Sheet |
| 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: | Salmon |
| 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: | 14530 |
| 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: | 84371145300 |