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, Green (Pack of 125)
Model #: S-9355-GRN
$103.45 / Pack of 125
In Stock
Ships In 1-2 Days
Only 13 left in stock - order soon
Volume Pricing
6+ | $101.45 |
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- Description
- Product Details
Product Description
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.- 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.
Additional Information
Brand: | Ecom Folders |
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Color: | Green |
Special Features: | Carbonless Form |
Folder Material: | Carbonless Form |
Packaged: | Pack of 125 |
Product Group: | Business Forms |
Product Type: | Business Forms |
Size: | Letter Size |
Sub Category: | Sign In Sheets |