GREY GOOSE

Patient Sign in Forms 125 Sheets Color Green HIPAA Approved 3 Part Carbonless

Description: QUALITY FORMS PACK WITH 125 FORMS COLOR GREEN 3 PART CARBONLESS 8 1/2" x 11 5/8" Meet the privacy and confidentiality requirements of HIPAA. After a patient signs in, the receptionist peels the label off and attaches to a patient’s chart or route slip. After label is removed, no patient information is visible to patients arriving later. Each sheet has 25 patient sign-in lines, numbered, with an adhesive strip label. The Sign-in Sheet asks new patients and those with a new address, phone number or insurance to identify themselves, so staff can gather needed information. The Sign-in Sheet asks new patients and those with a new address, phone number or insurance to identify themselves, so staff can gather needed information

Price: 46.79 USD

Location: Chicago, Illinois

End Time: 2024-09-30T17:00:57.000Z

Shipping Cost: 0 USD

Product Images

Patient Sign in Forms 125 Sheets Color Green HIPAA Approved  3 Part CarbonlessPatient Sign in Forms 125 Sheets Color Green HIPAA Approved  3 Part CarbonlessPatient Sign in Forms 125 Sheets Color Green HIPAA Approved  3 Part CarbonlessPatient Sign in Forms 125 Sheets Color Green HIPAA Approved  3 Part CarbonlessPatient Sign in Forms 125 Sheets Color Green HIPAA Approved  3 Part CarbonlessPatient Sign in Forms 125 Sheets Color Green HIPAA Approved  3 Part CarbonlessPatient Sign in Forms 125 Sheets Color Green HIPAA Approved  3 Part Carbonless

Item Specifics

Return shipping will be paid by: Buyer

All returns accepted: Returns Accepted

Item must be returned within: 30 Days

Refund will be given as: Money Back

Brand: Quality Forms

Type: 3 Part Patient Sign-In

MPN: NLD1701

Country/Region of Manufacture: United States

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