Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Salmon — Janitorial Superstore Skip to content

All Janitorial Superstore Locations will be closed Monday, July 4th in Observation of Independence Day. All Locations will reopen Tuesday, July 5th.
All Janitorial Superstore Locations will be closed Monday, July 4th in Observation of Independence Day. All Locations will reopen Tuesday, July 5th.

Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Salmon


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Patient Sign-In Label Forms, 8 1/2 x 11 5/8, 125 Sheets/Pack, Salmon - Janitorial Superstore




Product Information

$69.50


Item Number & Vendor


JSS Item #:

Vendor Name:

Janitorial Superstore

Product Notes


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  • This Product Ships USPS, Fedex, or UPS

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About This Product


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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