Cart 2 india

Specification
AgeRangeDescription : Adult
Author : Learning LLC, ZR
Binding : paperback
Brand : Blue Summit Supplies
BulletPoint1 : Keep your front desk secure while controlling patient flow with these carbonless 3-part patient sign-in forms, featuring a top sheet of peel-away labels, a security cover sheet in the middle, and a tear-away transfer sheet on the bottom
BulletPoint2 : Maintain HIPAA compliance and keep patient information confidential thanks to the security sheet attached below the sign in sheet, so each patient can sign in safely without seeing information of other patients
BulletPoint3 : Easily conceal patient information from public view while retaining a daily log of your sign in sheet for reference or audit purposes. Sign in information is instantly imprinted onto the transfer sheet below, yet remains securely blocked from the view of others
BulletPoint4 : Each line on the signin sheet peels off to become a self-adhesive label sticker, which can be then applied directly to the patient folder, form, or other office records
BulletPoint5 : Save money on your medical office supplies while retaining impeccable day to day records of patient arrivals and updates to their personal information. With 25 lines per sheet in this 125 pack of forms, you can serve up to 3,125 patient visits using this bulk pack of sign-in sheets
BulletPoint6 : All pockets come with a medical form
BulletPoint7 : All folding card holders will come with a medical card
Color : Red, Brown, Blue, Orange, Yellow, Green
Color1 : Blue
Color2 : Burgundy
CustomerPackageType : Standard Packaging
ExternallyAssignedProductIdentifier1 : 810007060675
ExternallyAssignedProductIdentifier2 : 0810007060675
ExternallyAssignedProductIdentifier3 : 0640206296182
ExternallyAssignedProductIdentifier4 : 0641438004019
ExternallyAssignedProductIdentifier5 : 00084371545001
FdaDeviceClassification : iv
FdaIndicationOfUse : otc
FdaInstructionsForUseType : consumer
FdaLabelType : consumer
FdaPremarketApprovalNumber510k : ...
FdaPremarketApprovalNumberPma : ...
FinishType : Burgundy
IncludedComponents : 4 Mini Molar Vases
ItemDisplayWeight : 1 pounds
ItemForm : stick
ItemName : Blue Summit Supplies 125 Patient Sign in Sheets, Carbonless 3 Part Forms with Peel Away Adhesive Labels, HIPAA Compliant for Privacy in Doctor, Medical, Dental Office, Burgundy, 125 Pack
ItemPackageDimensions_Height : 29.9974 centimeters
ItemPackageDimensions_Length : 5.0038 centimeters
ItemPackageDimensions_Width : 21.9964 centimeters
ItemPackageQuantity : 1
ItemShape : Rectangular
ItemTypeKeyword : professional-medical-filing-supplies
Language1 : english
Language2 : english
Language3 : english
Manufacturer : Blue Summit Supplies
Material : Paper
ModelNumber : BSS-92588-364
NumberOfBoxes : 1
NumberOfDividers : 123
NumberOfItems : 40
NumberOfLabels : 125
NumberOfPieces : 1
PackageLevel : unit
Pages : 198
PaperSize : 8-1/2 x 11-3/8
PartNumber : BSS-92588-364
Pattern : Solid
ProductDescription :

Protect Patient Information with Confidential HIPAA Compliant Sign In Forms

We all want to know that our personal information is being protected by the professionals we trust most. These HIPAA compliant sign-in forms are designed to conceal private patient information from others, as each line on the form can be peeled away by staff members as patients sign in for their appointments.

• Peel away adhesive labels have a sticky back that can be reapplied to your patient’s medical folders or other office forms
• Information handwritten on the top layer of labels is transferred onto a log sheet below, but concealed by a security sheet that simply reads “Please Use Next Line” when the label above is peeled away
• Log sheet with transferred information can be accessed by tearing away the perforated bottom edge, then retained as a daily log for audits or other reference needs

Welcome Patients to your Doctors Office with a Professional Sign In Form

Make a good impression on patients new and old with a tidy preprinted signin sheet, which also helps you control patient flow and arrivals while creating an activity log of daily patient activity.

Each sheet is intended for daily use and includes boxes for marking:

• Patient name
• Appointment time and arrival time
• Name of the professional to be seen
• If they are a new patient
• If they have changes to their phone, address, or insurance

ProductSiteLaunchDate : 2019-07-31T07:00:00.000Z
PublicationDate : 2014-06-26T00:00:01Z
Size : 8-1/2" x 11-3/8"
StreetDate : 2023-01-18T00:00:01Z
Style : Bottom Tab
Subject : Education / Training & Certification
SubjectCode : EDU053000
SubjectKeyword1 : Alabama
SubjectKeyword2 : business law
SubjectKeyword3 : project management
SupplierDeclaredDgHzRegulation : not_applicable
TemperatureRating : Ambient: 15 to 25 C (59 to 77 F)
UnitCount : 125