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. Form Size: 8.5 x 11.63; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.
| Copy Types: Carbon Duplicate |
| Finish: Label Stock |
| Form Quantity: 125 |
| Form Size: 8.5 x 11.63 |
| Forms Per Page: 1 |
| Global Product Type: Forms-Medical Admissions |
| Layout: One Form per Sheet |
| Number of Columns: 6 |
| Number of Entry Lines: 23 |
| Numbering Color(s): Black |
| Numbering: Preprinted Entry Lines |
| Paper Color(s): Blue |
| Post-Consumer Recycled Content Percent: 0% |
| Pre-Consumer Recycled Content Percent: 0% |
| Principal Heading(s): Date |
| Print and Ruling Color(s): Black |
| Sheet Size: 8.5 x 11.63 |
| Total Number of Entries per Book: 2875 |
| Total Recycled Content Percent: 0% |
