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Medical Arts Press® Privacy Sign-In Sheets; Butterfly/Flower

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Item # 901-27319
  Model # 27319
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MAP Privacy Sign-In Sheets; Butterfly/Flower
$49.99 /Pack 125 EACH = 1 PACK
 When you buy 8+
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Qty 1 4 8
Price $55.99 $52.99 $49.99
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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 sheet is 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"
  • To view an enlarged sample of this form Click Here
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 Brand : Medical Arts Press
Weight Weight : 6.80 lbs. per Pack

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