Actual product color may vary. We would be happy to send a color swatch if exact match is required. Contact us for more detials.
Patient Sign-In Sheets, HIPAA Compliant, 8-1/2" x 11" Carbonless Form, Burgandy (Pack of 125)
Model #: S-9355-BUR
$84.95 / Pack of 125
Ships In 1-2 Days
Only 4 left in stock - order soon
- Product Details
Product DescriptionThese 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.
- 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.
|Special Features:||Carbonless Form|
|Folder Material:||Carbonless Form|
|Packaged:||Pack of 125|
|Product Group:||Business Forms|
|Product Type:||Business Forms|
|Sub Category:||Sign In Sheets|