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