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. Salmon Sheets. Form Type Details: Medical Admission; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.63.
Global Product Type | Medical Admission Forms |
Form Type Details | Medical Admission |
Dated/Undated | Undated |
Forms Per Page | 1 |
Form Size | 8.5 x 11.63 |
Sheet Size | 8.5 x 11.63 |
Format Indicator | Unbound |
Form Quantity (Total) | 125 |
Copy Types | Two-Part Carbon |
Principal Heading(s) | Any Changes Since Last Visit |
Columns per Sheet | 6 |
Number of Entry Lines | 23 |
Paper Color(s) | Salmon |
Color Family | Pink |
Print and Ruling Color(s) | Black |
Numbering Color(s) | Black |
Product Biodegradability in Days | 0 |
Pre-Consumer Recycled Content Percent | 0% |
Post-Consumer Recycled Content Percent | 0% |
Total Recycled Content Percent | 0% |
Special Features | Salmon Sheets |
- Delivery is free for all orders over $100. Otherwise, delivery is $4.95-$19.99 depending on the item and shipping speed.
- Once your product has shipped, it usually takes 1 to 3 business days to arrive. Some items, shipping from warehouses outside your local area may take a few days longer.
- You can return your product up to 14 days after receiving your order. Please make sure that the products are not used. Returns are not accepted on pershable items