Blue Summit Supplies 125 Patient Sign in Sheets, Carbonless 3 Part Forms with Peel Away Adhesive Labels, HIPAA Compliant for Privacy in Doctor, Medical, Dental Office, Burgundy, 125 Pack

★★★★★ 5.0 123 reviews

$45.99
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$45.99
Price when purchased online
Free shipping Free 30-day returns

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Product details

Management number 211742416 Release Date 2026/04/04 List Price $18.40 Model Number 211742416
Category
  • Keep your front desk secure while controlling patient flow with these carbonless 3-part patient sign-in forms, featuring a top sheet of peel-away labels, a security cover sheet in the middle, and a tear-away transfer sheet on the bottom
  • Maintain HIPAA compliance and keep patient information confidential thanks to the security sheet attached below the sign in sheet, so each patient can sign in safely without seeing information of other patients
  • Easily conceal patient information from public view while retaining a daily log of your sign in sheet for reference or audit purposes. Sign in information is instantly imprinted onto the transfer sheet below, yet remains securely blocked from the view of others
  • Each line on the sign in sheet peels off to become a self-adhesive label sticker, which can be then applied directly to the patient folder, form, or other office records
  • With 25 lines per sheet in this 125 pack of forms, you can serve up to 3,125 patient visits using this bulk pack of sign-in sheets
UPC 810007060675
Color Blue, Burgundy
Brand Name Blue Summit Supplies
Item Shape Rectangular
Unit Count 125 Count
Finish Type Burgundy
Manufacturer Blue Summit Supplies
Material Type Paper
Number of Labels 125

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