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Medical Arts Press® Privacy Sign-In Sheet; HIPAA Compatible, Green

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Item # 901-24121
  Model # 24121
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MAP® Green HIPAA Cmpt Privacy Sign-In Sheets
$35.99 /Pack
 When you buy 8+
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Price $45.99 $43.99 $39.99 $35.99
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  • Form Type: Clinical
  • Format: Sign In Sheet
  • Sheet Size: 8-1/2" x 11"
Description
  • Privacy Sign-in sheets that provide the level of privacy that patients expect.
  • Sheets provided for patient name, arrival time, appointment time, doctor or dept, indicate yes or not for any changes to information and numbering system if office chooses to use
  • Patient signs on removable strips that have adhesive backs for attaching to patient charts to improve record keeping
  • Once sheets are full perforated snap-set provides a confidential record of the daily patient log
  • 20 lines per form, 125 forms per package, size: 8-1/2 x 11"
Specifications
Product Information Form Type : Clinical Format : Sign In Sheet
Sheet Size : 8-1/2" x 11" Lines : 20
Form Size : 8-1/2" x 11" Media Quantity : 125
Binding Type : Loose Paper Color : White
Number of Parts : 2 Carbonless : Yes
# Up Per Sheet/Page : 1 NCR Paper : No
Numbered : No Holes Punched : None
Personalization : No Security Features : Yes
Miscellaneous Weight : 4.00 lbs. per Pack Country of Origin : USA
Brand : Medical Arts Press
Weight Weight : 4.00 lbs. per Pack

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