Med-Pass® Confidential Privacy Sign-In Sheets

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Item # 901-38273
  Model # MPH953
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Med-Pass® White Confidential Sign-In Sheets
$7.49 /Pack 2 PAD = 1 PACK
 When you buy 5+
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Price $8.49 $7.49
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  • Form Type: Clinical
  • Format: Sign In Sheet
  • Sheet Size: 8-1/2" x 11"

Frequently Bought Together

  • 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 Country of Origin : USA Brand : Medical Arts Press
Weight Weight : 1.55 lbs. per Pack

Frequently Bought Together

Med-Pass® White Confidential Sign-In Sheets

$8.49 Quick Info

Confidential Patient Sign-In Log Holder

$120.99 Quick Info

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by PowerReviews
Medical Arts PressMed-Pass® Confidential Sign-In Sheets

(based on 1 review)

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Reviewed by 1 customer

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Good for privacy

By snowball

from arkansas

Verified Buyer

Comments about Medical Arts Press Med-Pass® Confidential Sign-In Sheets:

We use these with the log holder recommended - good for patient privacy and a lot better than having to mark names out.

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