Tabbies Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms Total (TAB14532)
Part # TAB14532
UPC 084371145324
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Product Details
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.
Additional Information
- Part #: TAB14532
- MPN: TAB14532
- UPC: 084371145324
- UNSPC: 14111806
- Forms limit access to personal information as required by HIPAA.
- Once label strip is removed the patient information is now protected behind special backing paper.
- Can be used as confidential daily patient log as well as sign-in sheet.
| Brand | Tabbies |
|---|---|
| Form Size | 8.5 x 11.63 |
| Number of Columns | 6 |
| Forms Per Page | 1 |
| Number of Entry Lines | 23 |
| Form Quantity | 125 |
| Sheet Size | 8.5 x 11.63 |
| Principal Heading(s) | Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit |
| Layout | One Form per Sheet |
| Numbering | Preprinted Entry Lines |
| Copy Types | Carbon Duplicate |
| Total Number of Entries per Book | 2875 |
| Paper Color(s) | Green |
| Print and Ruling Color(s) | Black |
| Numbering Color(s) | Black |
| Finish | Label Stock |
| Pre-Consumer Recycled Content Percent | 0% |
| Post-Consumer Recycled Content Percent | 0% |
| Total Recycled Content Percent | 0% |
| Country of Origin | US |
| Prop65 | No |
| Unit of Measure | PK |
| Last Updated | 11/8/2020 |
Additional Information
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