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Green Confidential Patient Sign-In Label Forms, 8-1/2" x 11", 23 Peel Off Adhesive Sign In Lines (125 Forms per Pack)
- HIPPA Compliant (HIPPA Privacy Rule, Section 164.502)
- Second Sheet is a complete record of all patients seen that day
- Option to call patients by name or number
- Carbonless
- Patient Privacy Sign-In Sheet
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HIPAA Compliant confidential patient sign-in sheet forms with peel of labels. 8.5" x 11" forms with 23 peel off labels used to keep patient sign in logs confidential. Once completed the special backer has a complete log of the patient visits for the day. Green color background with fields for name, arrival time, appointment time, appointment with, new patient check box and change of address, phone and insurance since the last visit.
Warranty & Returns
Warranty, Returns, And Additional Information
Warranty
- Please contact the Seller directly for warranty information. Warranty information may also be found on the Manufacturer's website.
- CONTACT
Return Policies
- Return for refund within: 30 days
- Return for replacement within: 60 days
- This item is covered by Supplies Shops Return Policy
Manufacturer Contact Info
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