The (14532) Patient Sign-In Form offers HIPAA-compliant privacy for medical office check-ins. Once patients sign in, their names are hidden behind a special backing sheet after label removal. Each numbered label can be attached to a patient chart, and the form serves as a confidential daily log for staff reference.
Key Features:
- Form Number: 14532
- Form Size: 8-1/2" x 11-5/8"
- Numbering: 1-23
- Columns: 6
- Forms per Page: 1
- Entry Lines: 23
- Color: Green
- Quantity: 125 Sheets per Pack
Ideal for maintaining confidentiality and accurate daily records in compliance with HIPAA regulations.
| Color: |
Green |
| Label Rolls Or Sheets: |
Sheets |
| Width: |
8.50
in
|
| Height: |
1.75
in
|
| Depth: |
11.63
in
|
No additional information available.