Bilingual Patient Sign-in Sheets - 8-1/2" x 11" - Printed in English & Spanish HIPAA Compliant - has 27 Sign in Positions! - 125 Sign Sheets Per Pack.
Product ID: B09NS8552F
Condition: New
$ 339
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
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Product Description
Bilingual Patient Sign-in Sheets - 8-1/2" x 11" - Printed in English & Spanish HIPAA Compliant - has 27 Sign in Positions! - 125 Sign Sheets Per Pack.
- Bilingual printed in English and Spanish HIPAA Compliant Sign In Sheet.
- HIPAA COMPLIANCE - These sign-in sheets meet HIPAA regulations for patient privacy.
- ADHESIVE LABELS - 125 sheets with positions on the sign-in sheet are labeled 1-27 with peel-off adhesive labels.
- INFORMATION COLUMNS - Securely collect information regarding Position Number, Patient Name, Appointment Time, Arrival Time, Appointment With, New Patient check column, and Any changes to patient information since last visit.
- CARBONLESS SYSTEM - Patient information is transferred via carbon paper to a master log behind the sign-in sheet. Once the slip is removed, that space is blank and the patient information is protected behind the carbon paper, available only for office use.
- MADE IN THE USA - Proudly manufactured in the USA.
Technical Specifications
Country
USA
Brand
Generic
Manufacturer
ACS Catalog
PartNumber
APSGN-B
Color
Billingual
Height
0.4
Length
11
Width
8.5
Size
8-1/2" x 11"
NumberOfItems
125







