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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%