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.

Case Pack: Pack of 125
Copy Types: Two-Part Carbon
Finish: Label Stock
Form Quantity: 125
Form Size: 8.5 x 11.63
Forms Per Page: 1
Global Product Type: Forms-Medical Admissions
Layout: One Form per Sheet
Number of Columns: 6
Number of Entry Lines: 23
Numbering: Preprinted Entry Lines
Numbering Color(s): Black
Paper Color(s): Green
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
Sheet Size: 8.5 x 11.63
Total Number of Entries per Book: 2,875
Total Recycled Content Percent: 0%