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Specifications
| Model No.: | 14532 |
| Alternate Model Numbers: | 739223 14532 |
| UPC: | 084371145324 |
| Ship Weight (lbs): | 4.95 |
| SpectrumSuperStore SKU: | 2342919 (68) |
| Manufacturer: |
Tabbies Please click on the manufacturer's name or logo to preview all products |
| Related Items: |
Tabbies Patient Sign-in Label Forms - Letter - 8.50" x 11" Sheet Size - Blue Sheet(s) - 125 / Pack |
Tabbies Patient Sign-In Label Forms - 125 Sheet(s) - 11" x 8.50" Form Size - Letter - Green Sheet(s) - Paper - 125 / Pack / PK
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Retail: $107.62
Your Price
$76.25
Save: $31.37 that is over 29% off
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Item Description
Confidentially sign in your patients. Forms limit access to personal information as required by HIPAA. Patient signs in waits to be called by name or number. Office staff removed 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 1/2 x 11 5/8; Number of Columns: 6; Forms Per Page: 1; Number of Entry Lines: 23.
This product ships in approximately 2 days
This product is made in US
This product ships in approximately 2 days
This product is made in US
| Material | Paper |
| Color Family | Green |
| Color | Green |
| Copy Types | Carbon Duplicate |
| Copy Types | Two-Part Carbon |
| Dated/Undated | Undated |
| Dimensions | 11.63 x 1.5 x 8.5 |
| Finish | Label Stock |
| Form Quantity | 125 |
| 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 |
| Item Weight | 4.95 pounds |
| Layout | One Form per Sheet |
| Length | 11 |
| Material Type | Paper |
| Number of Columns | 6 |
| Number of Entry Lines | 23 |
| Number of Items | 1 |
| Number of Labels | 125 |
| Numbering | Preprinted Entry Lines |
| Numbering Color | Black |
| Paper Color | Green |
| Post-Consumer Recycled Content Percent | 0% |
| Pre-Consumer Recycled Content Percent | 0% |
| Principal Heading | Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit |
| Print and Ruling Color | Black |
| Shape | Rectangular |
| Sheet Size | 8.5 x 11.63 |
| Size | 125 Pack |
| Special Features | Green Sheets |
| Total Number of Entries per Book | 2875 |
| Total Recycled Content Percent | 0% |
| Type | Forms-Medical Admissions |
| Width | 8.50 |
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