Ashley Hill Janitorial Supplies
HOME
|
VIEW CART
|
LOGIN
Home
>
Forms, Recordkeeping & Reference Materials
>
Forms
>
Patient Sign-In Label Forms, 8 1/2 X 11 5/8, 125 Sheets/pack, Salmon
List Price: $83.00
Our Price:
$
89.04
Product Code:
TAB14530
Qty:
Description
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.
Related Items
Comprehensive Employee Application Form, 8.5 X 11, 1/page, 25 Forms
Avoid Verbal Orders Manifold Book, 6 1/4 X 4 1/4, 2-Part Carbonless, 50 Sets/bk
Wirebound Message Book, Two-Part Carbonless, 5 X 2.75, 4/page, 600 Forms
Purchase Order Book, Two-Part Carbonless, 7 X 2.75, 4/page, 400 Forms
Our Price:
$31.55
Our Price:
$7.66
Our Price:
$15.85
Our Price:
$46.41
Sales Order Book, Two-Part Carbonless, 5.56 X 7.94, 1/page, 50 Forms
Desk Saver Line Wirebound Message Book, Two-Part Carbonless, 6.25 X 4.25, 1/page, 50 Forms
Hazardous Material Short Form, Four-Part Carbonless, 8.5 X 7, 1/page, 50 Forms
Guest Check Book, Two-Part Carbon, 3.5 X 6.7, 1/page, 50/book, 50 Books/carton
Our Price:
$12.92
Our Price:
$5.86
Our Price:
$33.12
Our Price:
$45.56
Share your knowledge of this product.
Be the first to write a review »