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Med-Pass® Confidential Sign-In Sheets
Product Details | Product Specifications

Med-Pass® Confidential Sign-In Sheets

Item # 901-38273
• Form Type: Clinical  • Format: Sign In Sheet  • Sheet Size: 8-1/2" x 11"  
$7.29
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Price$8.29$7.29
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For Use with Log Holder, Item #38275

Designed for use with Confidential Patient Sign-in Log Holder 38275. Asks patients for arrival time, appointment time, name, check if new patient, any change in address, phone or insurance coverage. 50 sheets per pad/21 sign-in lines per sheet. Can also be used without log holder for practices not using a confidential sign-in process.
Product Information
Form Type :
Clinical
Format :
Sign In Sheet
Sheet Size :
8-1/2" x 11"
Lines :
21
Form Size :
8-1/2" x 11"
Media Quantity :
100
Binding Type :
Padded
Paper Color :
White
Number of Parts :
1
Carbonless :
No
# Up Per Sheet/Page :
1
NCR Paper :
No
Numbered :
No
Holes Punched :
None
Personalization :
No
Security Features :
No
Miscellaneous
Brand :
Medical Arts Press
Country of Origin :
USA
Weight
Weight :
1.55 lbs. per Pack

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Med-Pass® White Confidential Sign-In Sheets $8.29 Quick Info
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