HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets, 8-1/2″ x 11″, Purple, Pack Of 500 Sheets
$124.89
The 2-part patient sign in sheets help you maintain HIPAA compliance and patient privacy. The forms allow your patients to sign in, your staff to maintain records and keep your practice compliant. Each form has 25 lines with a peel away section which can be applied to the patient’s chart. The back sheet records all the names of the patients that signed in for the given day.
- HIPAA compliant sign-in forms capture patient information.
- 25 lines per page.
- Great for medical offices.
Product Specifications
| Item # | 6555515 |
| Manufacturer # | W-PSGN-PUR500 |
| Color (Ink) | Purple |
| sheet size | Letter (8-1/2″ x 11″) |
| number of parts | 2 |
| double sided | No |
| carbonless | Yes |
| acid free | Yes |
| Product Line | HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets |
| quantity | 500 |
| brand name | Taylor Corporation |
| manufacturer | TAYLOR CORP |
| Total Quantity | 500 HIPAA Compliance Forms |
| UPC | 039956742412 |
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