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Patient Sign-In Label Forms Two-Part Carbon 8.5 x 11.63 Salmon Sheets 125 Forms Total 14530
Patient Sign-In Label Forms Two-Part Carbon 8.5 x 11.63 Salmon Sheets 125 Forms Total 14530

Your Price:
$58.93


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Patient Sign-In Label Forms Two-Part Carbon 8.5 x 11.63 Salmon Sheets 125 Forms Total 14530

Patient Sign-In Label Forms Two-Part Carbon 8.5 x 11.63 Salmon Sheets 125 Forms Total 14530
Your Price:
$58.93



 Add to Cart


Item #
N-643881
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Availability
Condition
New
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Tabbies® Patient Sign-In Label Forms

Confidentially sign in your patients. Forms limit access to personal information as required by HIPAA. Patient signs in and waits to be called by name or number. Office staff removes numbered label strip with patient name and adheres it to patient chart to help improve record keeping. Once label strips have been removed, the patient information is now protected behind special backing paper. The sign-in form also provides confidential daily patient log. Forms numbered 1 - 23. Salmon Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.

  • Special Features: Salmon Sheets
  • Total Recycled Content Percent: 0%
  • Post-Consumer Recycled Content Percent: 0%
  • Pre-Consumer Recycled Content Percent: 0%
  • Product Biodegradability in Days: 0
  • Numbering Color(s): Black
  • Print and Ruling Color(s): Black
  • Color Family: Pink
  • Paper Color(s): Salmon
  • Number of Entry Lines: 23
  • Columns per Sheet: 6
  • Principal Heading(s): Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
  • Copy Types: Two-Part Carbon
  • Form Quantity (Total): 125
  • Format Indicator: Unbound
  • Sheet Size: 8.5 x 11.63
  • Form Size: 8.5 x 11.63
  • Forms Per Page: 1
  • Dated/Undated: Undated
  • Global Product Type: Medical Admission Forms
  • Form Type Details: Medical Admission

WARNING: This product can expose you to chemicals including Di(2-ethylhexyl)phthalate (DEHP), which is known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.P65Warnings.ca.gov.






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Shipping Restrictions
  • This item cannot be shipped to PO Boxes.
  • This item can be shipped only within the U.S.


  • UPC: 084371145300 
  • Mfr's Part #: 14530