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Patient Sign in Forms

Patient Sign in Form Burgundy

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Patient Sign in Form
2 Part, Burgundy

SKU: NDL1702
25 Labels Per Sheet

Availability: In stock

Specifications

Color:  
Burgundy
Paper Size:  
8-1/2 x 11"
Qty. Per Pack:  
25
Qty. Per Case:  
250
$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 divrdrew
Great product. Has all the information necessary for a patient to sign in. Its to use, clear, and big letters that help for people with less than perfect vision!
(Posted on 8/12/2020)

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Reviews

Customer Reviews 1 item(s)

Great product!
Great product. Has all the information necessary for a patient to sign in. Its to use, clear, and big letters that help for people with less than perfect vision!
Review by divrdrew / (Posted on 8/12/2020)