Patient Sign-In Sheets, HIPAA Compliant, 8-1/2″ x 11″ Carbonless Form, Burgandy (Pack of 125)
$69.99
- 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.
SKU: S-9355-BUR
Category: Sign In Sheets
- Description
- Additional information
Description
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.
Additional information
Weight | 7 lbs |
---|---|
Brand | Ecom Folders |
Color | Burgundy |
Size | Letter Size |
Material | Carbonless Form |
Packaged | Pack of 125 |
Feature | Carbonless Form |
Case Qty | 125 |
Package Qty | 125 |