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Patient Sign in Forms

Patient Sign in Form Blue

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Patient Sign in Form
2 Part, Blue

SKU: NDL1700
25 Labels Per Sheet

Availability: In stock

Specifications

Color:  
Blue
Paper Size:  
8-1/2 x 11"
Qty. Per Case:  
250
Qty. Per Pack:  
25
$22.99
  • Product Description
  • Reviews

Details

Two Part Confidentially Sign in Forms

Let your patients sign in without seeing the information from other patients. Your patients will sign in on the removable numbered label when entering your office and the info will copy down to the second sheet. The label strips will then be removed, and the patient information is now protected behind special backing paper. The first form, the original one; were your patient signed her name will be applied to the patients file folder or you could use it as a tracking system and call you patients by their numbers, so you won’t need to say their names aloud.

  • 25 Sheets Patient Sign in Sheets - 25 Labels Per Sheet (Will Serve 625 Patient Visits)
  • Confidential form is required by the HIPAA - (Health Insurance Portability and Accountability Act) Patient can sign in secured without seeing the information from other patients
  • After the patient signed in, the secretary removes the label and apply to the patient folder or form, the sign in form will also provide a daily log report.

Customer Reviews

GREAT PRODUCT Review by JEN
We had had several patients comment that they appreciate the fact we are protecting their privacy. This was the first time we bought it and we will buy it again.
Thank You (Posted on 9/12/2019)

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Description
Reviews

Customer Reviews 1 item(s)

GREAT PRODUCT
We had had several patients comment that they appreciate the fact we are protecting their privacy. This was the first time we bought it and we will buy it again.
Thank You Review by JEN / (Posted on 9/12/2019)