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HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2" x 11", Blue, Pack Of 125 Sheets
HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2" x 11", Blue, Pack Of 125 Sheets
HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2" x 11", Blue, Pack Of 125 Sheets
HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2" x 11", Blue, Pack Of 125 Sheets
HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2" x 11", Blue, Pack Of 125 Sheets
HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2
HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2
HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2
HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2
HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2

HIPAA Compliant Patient/Visitor Privacy 2-Part Sign-In Sheets With Out of Country Box, 8-1/2″ x 11″, Blue, Pack Of 125 Sheets

Original price was: $68.00.Current price is: $47.89.

SKU: SKUMIbdmV4Q5x Categories: , Tag: Brand:

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.
  • Includes Out of Country Travel Question to help with Covid screening.
Product Specifications
Item # 7354981
Manufacturer # W-PSGN-OOC
Color (Ink) Blue
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 125
brand name Taylor Corporation
manufacturer TAYLOR CORP
Total Quantity 125 HIPAA Compliance Forms
UPC 039956742061

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