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Confidentially sign in your patients with Patient Sign-In Label Forms. Forms limit access to personal information as required by HIPAA. Patients sign in on the next available, removable, numbered label strip. Patient then takes the numbered label 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 a confidential daily patient log. Forms are numbered 1 through 23 to record up to 23 patients. Each package contains 125 forms allowing you to record 2,875 patients.
| Dimensions / Specifications | |
|---|---|
| Unit of Measure | PK |
| Item Dimensions | 8.50 in. x 1.50 in. x 11.60 in. (W x H x D) |
| Item Weight | 5.000 lbs |
| Carton Pack Quantity | 750 SH |
| Carton Pack Dimensions | 9.00 in. x 11.00 in. x 0.00 in. (W x H x D) |
| Carton Pack Weight | 33.000 lbs |
| Pack Quantity | 125 SH |
| This item is sold by the PK which contains 125 SH | |
| Shipping Info | |
|---|---|
| Can Ship via UPS? | Yes |
| Can Ship via Air Carrier? | Yes |
| Hazmat restrictions? | No |
| Additional Information | |
|---|---|
| Considered Green (less environmental impact)? | No |
| Made of Some or All Recycled Materials? | No |
| Item Specifications | |
|---|---|
| Manufacturer | TABBIES |
| Manufacturer Part Number | 14530 |
| Product Name | Patient Sign-In Label Forms |
| Packaged Quantity | 125 / Pack |
| Product Type | Patient Sign-in Form |
| Number of Sheets | 125 |
| Sheet Size | 8.50" Width x 11" Length |
| Number of Lines per Sheet | 23 |
| Color Family | Pink |
| Product Color | Salmon |
| Recycled | No |
| Assembly Required | No |
| Country of Origin | United States |
| Manufacturer Info | |
|---|---|
| Brand | Tabbies® |
| Brand Contact | (800) 822-2437 |
| Manufacturer SKU | 14530 |
| Retail GTIN (UPC) | 00084371145300 |
| Country of Origin | US |
| UNSPSC Number | 14111806 |
| Product ID | 8429839 |