Patient Sign-in Label Forms, Two-part Carbon, 8.5 X 11.63, Salmon, 1/page, 125 Forms

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 Quantity : 125
• Numbering Color(s) : Black
• Forms Per Page : 1
• Copy Types : Two-Part Carbon
• Number of Entry Lines : 23
• Sheet Size : 8.5 x 11.63
• Paper Color(s) : Salmon
• Pre-Consumer Recycled Content Percent : 0%
• Number of Columns : 6
• Total Number of Entries per Book : 2,875
• Numbering : Preprinted Entry Lines
• Total Recycled Content Percent : 0%
• Form Size : 8.5 x 11.63
• Layout : One Form per Sheet
• Global Product Type : Forms-Medical Admissions
• Ship Class Code : M
• Print and Ruling Color(s) : Black
• Post-Consumer Recycled Content Percent : 0%
• Principal Heading(s) : Date
• Finish : Label Stock

Dimensions & Weight

Weight:

4.95 LBS

Width:

8.50 Inches

Height:

1.75 Inches

Depth:

11.63 Inches

Detailed Specs

MPN:

14530

Numbering:

Preprinted Entry Lines

Numbering Color(s):

Black

Form Size:

8.5 x 11.63

Copy Types:

Two-Part Carbon

Form Quantity:

125

Number of Columns:

6

Number of Entry Lines:

23

Sheet Size:

8.5 x 11.63

Global Product Type:

Forms-Medical Admissions

Print and Ruling Color(s):

Black

Principal Heading(s):

Date

Pre-Consumer Recycled Content Percent:

0%

Layout:

One Form per Sheet

Total Recycled Content Percent:

0%

Post-Consumer Recycled Content Percent:

0%

Forms Per Page:

1

Finish:

Label Stock

Paper Color(s):

Salmon

Total Number of Entries per Book:

2,875

Ship Class Code:

M