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.
Global Product Type
Medical Admission Forms
Form Type Details
Medical Admission
Dated/Undated
Undated
Forms Per Page
1
Format Indicator
Unbound
Copy Types
Two-Part Carbon
Color Family
Blue
Form Size
8.5 x 11.63
Sheet Size
8.5 x 11.63
Form Quantity (Total)
125
Principal Heading(s)
Date,Please Print Name,Arrival Time,Appt. Time,Appointment With,New Patient,Any Changes Since Last Visit
Columns per Sheet
6
Number of Entry Lines
23
Paper Color(s)
Blue
Print and Ruling Color(s)
Black
Numbering Color(s)
Black
Product Biodegradability in Days
0
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Special Features
Blue Sheets