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Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total

Category Forms
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total

Item Code: TAB14531
Category Forms
Manufacturer TABBIES

Fetching product details


Description

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. Blue Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

4.95lb

Height

1.75in

Width

8.5in

Length

11.63in

Brand

TABBIES

Category

Forms

Color Family

Blue

Columns per Sheet

6

Copy Types

Two-Part Carbon

Dated/undated

Undated

Form Quantity (Total)

125

Form Size

8.5 x 11.63

Form Type Details

Medical Admission

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Medical Admission Forms

Number of Entry Lines

23

Numbering Color(s)

Black

Paper Color(s)

Blue

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit

Print and Ruling Color(s)

Black

Sheet Size

8.5 x 11.63

Special Features

Blue Sheets

Total Recycled Content Percent

0%

 

 

Woman Wearing Hard Hat And High Vis VestOur selection of safety supplies includes protective high visibility clothing, safety glasses, hard hats, safety gloves, and hearing protection. These supplies are the first step towards creating an injury-free workplace. With our high-quality safety supplies, you can rest assured that your employees are protected from potential hazards.

Enrich your business with safety training that not only safeguards your employees but also underscores your dedication to their welfare. Elevate safety as a priority, enhancing employee satisfaction and efficiency, thereby fostering business prosperity. Rely on us for the safety gear essential for maintaining a secure work environment.

 

When was your last Bump Test?  Schedule a Bump Test Now!

Bump Testing for Manufacturers in Nashville Tennessee

Starting at
$112.39 / PK
/
%
- +
Compare

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total

Category Forms
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply
Advanced Safety & Industrial Supply Advanced Safety & Industrial Supply

Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Blue Sheets, 125 Forms Total

Item Code: TAB14531
Category Forms
Manufacturer TABBIES

Fetching product details


Description

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. Blue Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

4.95lb

Height

1.75in

Width

8.5in

Length

11.63in

Brand

TABBIES

Category

Forms

Color Family

Blue

Columns per Sheet

6

Copy Types

Two-Part Carbon

Dated/undated

Undated

Form Quantity (Total)

125

Form Size

8.5 x 11.63

Form Type Details

Medical Admission

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Medical Admission Forms

Number of Entry Lines

23

Numbering Color(s)

Black

Paper Color(s)

Blue

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit

Print and Ruling Color(s)

Black

Sheet Size

8.5 x 11.63

Special Features

Blue Sheets

Total Recycled Content Percent

0%

 

 

Woman Wearing Hard Hat And High Vis VestOur selection of safety supplies includes protective high visibility clothing, safety glasses, hard hats, safety gloves, and hearing protection. These supplies are the first step towards creating an injury-free workplace. With our high-quality safety supplies, you can rest assured that your employees are protected from potential hazards.

Enrich your business with safety training that not only safeguards your employees but also underscores your dedication to their welfare. Elevate safety as a priority, enhancing employee satisfaction and efficiency, thereby fostering business prosperity. Rely on us for the safety gear essential for maintaining a secure work environment.

 

When was your last Bump Test?  Schedule a Bump Test Now!

Bump Testing for Manufacturers in Nashville Tennessee

Starting at
$112.39 / PK
/
%
- +
Compare
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