- Product Description
- More Information
TAB14530rms limit access to personal information as required by HIPAA.
- Once label strip is removed the patient information is now protected behind special backing paper.
- Can be used as confidential daily patient log as well as sign-in sheet.
Global Product Type : Forms-Medical Admissions Principal Heading(s) : Date,Please Print Name,Arrival Time,Appt. Time,Appointment With,New Patient,Any Changes Since Last Visit Copy Types : Carbonless Duplicate Form Size : 8 1/2 x 11 5/8 Number of Columns : 6 Forms Per Page : 1 Number of Entry Lines : 23 Form Quantity : 125 Sheet Size : 8 1/2 x 11 5/8 Layout : One Form per Sheet Numbering : Preprinted Entry Lines Total Number of Entries per Book : 2875 Paper Color(s) : Salmon Print and Ruling Color(s) : Black Numbering Color(s) : Black Finish : Label Stock Pre-Consumer Recycled Content Percent : 0% Post-Consumer Recycled Content Percent : 0% Total Recycled Content Percent : 0%