Patient Sign-In Label Forms， Two-Part Carbon， 8.5 x 11.63， Salmon Sheets， 125 Forms Total
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.
| Dimensions / Specifications | |
|---|---|
| Unit of Measure | PK |
| Item Dimensions | 8.50 in. x 1.75 in. x 11.63 in. (W x H x D) |
| Item Weight | 4.950 lbs |
| Carton Pack Quantity | 6 PK |
| Carton Pack Dimensions | 9.00 in. x 11.00 in. x 12.00 in. (W x H x D) |
| Carton Pack Weight | 33.000 lbs |
| Pack Quantity | 125 EA |
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