Office Products > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
Patient Sign-in Sheets, HIPAA Compliant, 8-1/2" x 11" Carbonless Form, Blue (Pack of 125)
Product ID: B01EYW0GV2
Condition: New
$ 295
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
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Product Description
Patient Sign-in Sheets, HIPAA Compliant, 8-1/2" x 11" Carbonless Form, Blue (Pack of 125)
- Each package contains 125 sheets with 25 signature lines per sheet (accomodates 3,125 total visits).
- These sign-in sheets meet the privacy and confidentiality requirements of HIPAA.
- The carbonless forms allows patients to sign-in without seeing other patent's confidential information.
- These sign-in sheets are blue.
- BUY 5, SAVE 10%
These HIPAA compliant patient sign-in sheets are a two part carbonless form with room for 25 signatures per page. Each patient prints their name and additional information on a numbered line. The office staff then removes the signed name label and either adds to the patient file or to a workflow tracking system. Once the label has been removed, the patient's contact information is protected and only available to the office staff.
Technical Specifications
Country
USA
Brand
Ecom Folders
Manufacturer
Ecom Folders
Binding
Office Product
PartNumber
S-9355-BLU
Color
Blue
Size
8.5 x 11 inch




