Patient Sign-in Sheets, 8-1/2" X 11" (Green) Carbonless Form (Lot of 625 Sheets) HIPAA Compliant

★★★★★ 4.8 99 reviews

$187.95
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$187.95
Price when purchased online
Free shipping Free 30-day returns

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Product details

Management number 219315245 Release Date 2026/05/03 List Price $75.18 Model Number 219315245
Category

Each patient prints his/her name, appt time/arrival time, appointment with and if they're a new patient or if there are any changes in the phone, address or insurance since the last visit. Once the label has been removed, the information is protected behind part one, available only for office use.

  • Maintain HIPAA compliance and keep patient information confidential thanks to the security sheet attached below the sign in sheet, so each patient can sign in safely without seeing information of other patients
  • Keep your front desk secure while controlling patient flow with these carbonless 3-part patient sign-in forms, featuring a top sheet of peel-away labels, a security cover sheet in the middle, and a tear-away transfer sheet on the bottom
  • Easily conceal patient information from public view while retaining a daily log of your sign in sheet for reference or audit purposes. Sign in information is instantly imprinted onto the transfer sheet below, yet remains securely blocked from the view of others
  • Each line on the signin sheet peels off to become a self-adhesive label sticker, which can be then applied directly to the patient folder, form, or other office records
  • 625 = 5 packs (125 sheets per pack) accommodates 18,750 patient visits
UPC 713331380641
Size 8.5*11 inches
Color Green
Brand Name Ecom Folders
Item Shape Rectangular
Unit Count 625.0 Count
Manufacturer TWIhealthcare
Model Number TWI-WPSGN-GN
Material Type Paper; Carbonless 3-part
Number of Labels 625
Manufacturer Part Number TWI-WPSGN-GN

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