SKU: 49U6MLDQ
Tabbies® Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms
- Confidential sign-in sheets help protect patient information in compliance with HIPAA
- Remove numbered label strip to adhere to charts while concealing patient data
- Doubles as a confidential daily patient log
- Two-part carbon format for easy duplicate records
- Undated form suitable for all appointment types
- Includes 125 green sheets
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Confidentially sign in your patients with these Tabbies® Patient Sign-In Label Forms designed to meet HIPAA privacy requirements. Each two-part carbonless form allows patients to sign in without exposing personal information. After the numbered label strip is removed and attached to patient charts, personal data is concealed behind protective backing paper. Ideal for maintaining a confidential daily patient log in medical offices, clinics, or healthcare facilities. Convenient undated forms suited for various appointment tracking needs. Includes 125 green sheets sized 8.5" x 11.63". Perfect for HIPAA compliance, medical recordkeeping, and patient privacy.
- Global Product Type: Medical Admission Forms
- Form Type Details: Medical Admission
- Dated/Undated: Undated
- Forms Per Page: 1
- Form Size: 8.5 x 11.63 inches
- Sheet Size: 8.5 x 11.63 inches
- Format Indicator: Unbound
- Total Form Quantity: 125
- Copy Types: Two-Part Carbon
- Principal Headings: Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit
- Columns per Sheet: 6
- Number of Entry Lines: 23
- Paper Color: Green
- Color Family: Green
- Print and Ruling Color: Black
- Numbering Color: Black
- Product Biodegradability in Days: 0
- Pre-Consumer Recycled Content: 0%
- Post-Consumer Recycled Content: 0%
- Total Recycled Content: 0%
- Special Features: Green Sheets
- Country of Origin: US
- Carton Pack Quantity: 6
- Pack Quantity: 125
- UPC: 084371145324
- UNSPSC: 14111806