Patient Sign-In Forms, 23 Lines, 8-1/2"x11", Blue
Item # TAB14531 · Mfr part # 14531
In stock
Contact us for GSA contract pricing.
Confidentially sign in your patients with Patient Sign-In Label Forms. Forms limit access to personal information as required by HIPAA. Patients sign in on the next available, removable, numbered label strip. Patient then takes the numbered label 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 a confidential daily patient log. Forms are numbered 1 through 23 to record up to 23 patients. Each package contains 125 forms allowing you to record 2,875 patients.
Specifications
| Brand | TABBIES |
|---|---|
| Item # | TAB14531 |
| Mfr part # | 14531 |
| UPC | 084371145317 |
| Unit of measure | PK |
| Unit of issue | PK (125 per) |
| Packaging | 125SH/PK, 6PK/CT |
| Dimensions (L x W x H, in) | 11.6 x 8.5 x 1.5 |
| Weight (lb) | 5 |
| Country of origin | United States Of America |
| UNSPSC | 14111810 |
| GSA SIN | 339940 |