Manufacturer: Tabbies
Mfg Number: TAB14532
SKU:
UPC: 084371145324
Condition:
New
Forms 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.
| General Information |
| Global Product Type | Forms-Medical Admissions |
| Form Size | 8.5 x 11.63 |
| Number of Columns | 6 |
| Forms Per Page | 1 |
| Number of Entry Lines | 23 |
| Form Quantity | 125 |
| Sheet Size | 8.5 x 11.63 |
| Principal Heading | Date; Please Print Name; Arrival Time; Appt. Time; Appointment With; New Patient; Any Changes Since Last Visit |
| Layout | One Form per Sheet |
| Numbering | Preprinted Entry Lines |
| Copy Types | Carbon Duplicate |
| Total Number of Entries per Book | 2875 |
| Paper Color | Green |
| Print and Ruling Color | Black |
| Numbering Color | Black |
| Finish | Label Stock |
| Pre-Consumer Recycled Content Percent | 0% |
| Post-Consumer Recycled Content Percent | 0% |
| Total Recycled Content Percent | 0% |
