Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon Sheets, 125 Forms Total

Name: Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Salmon Sheets, 125 Forms Total
Brand: Tabbies®
SKU: TAB14530
Price: 58.51 USD
Availability: InStock

Item # TAB14530

Brand: Tabbies®

Ask a Question

Click image to zoom in

Running Low on Ink or Toner?

Use our Ink & Toner Finder

Product Details

Product Highlights

Forms limit access to personal information as required by HIPAA.
Once label strip is removed the patient information is now protected behind special backing paper.
Can be used as confidential daily patient log as well as sign-in sheet.

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 Size: 8.5 x 11.63; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.

Product Specifications

Dimensions / Specifications
Unit of Measure	PK
Item Dimensions	8.50 in. x 1.75 in. x 11.63 in. (W x H x D)
Item Weight	4.950 lbs
Carton Pack Quantity	6 PK
Carton Pack Dimensions	9.00 in. x 11.00 in. x 12.00 in. (W x H x D)
Carton Pack Weight	33.000 lbs
Pack Quantity	125 EA
This item is sold by the PK which contains 125 EA

Shipping Info
Can Ship via UPS?	Yes
Can Ship via Air Carrier?	Yes
Hazmat restrictions?	No

Additional Information
Is Certified with EPA/CPG?	No
Considered Green (less environmental impact)?	No
Made of Some or All Recycled Materials?	No
Warranty Offered?	No

Item Specifications
Brand	Tabbies®
Global Product Type	Forms-Medical Admissions
Principal Heading(s)	Any Changes Since Last Visit, Appointment With, Appt. Time, Arrival Time, Date, New Patient, Please Print Name
Copy Types	Two-Part Carbon
Form Size	8.5 x 11.63
Number of Columns	6
Forms Per Page	1
Number of Entry Lines	23
Form Quantity	125
Sheet Size	8.5 x 11.63
Layout	One Form per Sheet
Numbering	Preprinted Entry Lines
Total Number of Entries per Book	2,875
Paper Color(s)	Salmon
Print and Ruling Color(s)	Black
Numbering Color(s)	Black
Finish	Label Stock
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%

Manufacturer Info
Brand	Tabbies®
Brand Contact	800-356-7041
Warranty Offered?	n
Manufacturer Stock No.	14530
Office Max Equivalent SKU	25432871
Office Depot Equivalent SKU	282625
Retail GTIN (UPC)	00084371145300
Country of Origin	US
UNSPSC Number	00141118
Product ID	8429839