QuillPlus

Med-Pass® Confidential Sign-In Sheets

See pricing info, deals and product reviews for Med-Pass® Confidential Sign-In Sheets at Quill.com. Order online today and get fast, free shipping for your business.
Item # 901-38273
Not yet rated.  Be the first toWrite a Review
Zoom in
Med-Pass® White Confidential Sign-In Sheets
$7.49 /Pack 2 PAD = 1 PACK
 When you buy 5+
Delivery Date:
Go
Enter Zip Code Parcel
Buy more & save! [Pack]
Qty 1 5
Price $8.49 $7.49
Save 11%
  • Form Type: Clinical
  • Format: Sign In Sheet
  • Sheet Size: 8-1/2" x 11"
Description
  • 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.
Specifications
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 Weight : 1.55 lbs. per Pack 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

Customers also viewed

Customers also bought

Recently Viewed

loadingLoading...
Email Signup
Request Catalog
Join Us On:

Can't find what you need? Contact Us

©Quill Lincolnshire, Inc. 2015, All Rights Reserved.

This Web site is intended only for use by U.S. residents.