Product Details & Information

Product Description

TAB14530
rms 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%

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