Patient Sign-In Sheets, HIPAA Compliant, 8-1/2" x 11" Carbonless Form, Burgundy (Pack of 125)
ITEM: S-09355-BUR
These Burgundy HIPAA compliant patient sign-in sheets are a two part carbonless form with room for 25 signatures per page. 125 sheets per pack accommodates 3,125 total visits.
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.
- LETTER SIZE: 8-1/2" W x 11" H
- Meets the privacy and confidentiality requirements of HIPAA.
- Pack of 125 sheets
Usually ships in 1-2 business days
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