NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Green)
NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Green)
  • Confidentiality and privacy are of key importance in professional medical offices, and our Next Day Labels Patient sign-in sheets are the perfect solution for patient privacy. This pack of 25 sheets features 25 labels per sheet, accommodating 625 patient visits. The 3-part carbonless sign in sheet provides a top sheet of peel-away labels, a protective cover sheet in the center, and a bottom sheet to which the information is transferred.
  • Compliant with HIPAA (Health Insurance Portability and Accountability Act), these secure sign in forms ensure that each patient can sign in privately and will not see other patients’ information. Since the labels are removed, the next patient cannot see the information of the previous one
  • Easily maintain a daily log report for your records or in case of an audit. The sign in information is transferred to the bottom sheet, preventing it from being seen by others. Once the labels are removed and possibly applied to the patient’s chart or folder, the bottom sheet can be retained as a daily log report or as reference for an audit.
  • Competitively priced, these sign in forms help you save money on your office supplies.
  • Locally produced, our forms are made in the USA by Next Day Labels TM and come with the assurance of your satisfaction.
color:
  • Green
Retail Price: $ 21.49
Wholesale Price: Inquire Now

3-part Carbonless Patient Sign in forms, HIPAA Compliant, Green, 25 sheets per pack

If you’re a doctor, dentist, or other medical professional, the privacy of your patient is certainly important to you. Your patients need to know that their medical office can be trusted to keep their information confidential. With Next Day Label Patient Sign in Forms, you will easily be able to reassure them.

These forms are designed in a way that ensures that each patient’s information is concealed from others. The top sheet is composed of individual peel-away labels, which office staff removes once the patient has signed in. The middle sheet is a protective cover sheet. And the bottom sheet is where the information gets transferred and then filed away.

With 25 labels per sheet, this pack of 25 8½ x 11 forms accommodates 625 patient visits.

Additional details:

· The lines are numbered 1 thru 25. As each label is peeled away, the following patient simply goes to the next available line and number.

· HIPAA compliant, the forms protect patients’ privacy.

· The bottom log sheet, which contains all the transferred information, can be torn off at its perforation and filed away as a daily log report or in case of an audit.

Maintain professionalism and Efficiency

Our pre-printed sign-in forms help you maintain a professional, efficient office. Each label asks for the following information:

· Name

· Appointment time / Arrival time

· Name of professional with whom patient has appointment

· New patient or have you been here before?

· Changes to address, phone number, or insurance

Once the patient fills in their information, the office staff can either transfer the label to the patient’s chart to keep a record of all visits, or have the patient keep the label, so that instead of calling out the patient’s name loudly to the waiting room, the staff member can simply announce the number of the label. Either way, the patient’s privacy is protected.

This website follows the safe harbor principle. If any infringement, please inform us in time and we will delete it in time. About safe harbor,please click here to learn more.
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After Sale Service:
1 Insurance Policy: Click to go to the Help Center to view the Insurance Policy
2 The rules apply and summit for receive compensation
3 The conditions of accrual for amount insurance
3 The conditions of accrual for amount insurance
5 Damage to the parcel during international shipping, which resulted in damage to the goods in it
6 Loss of individual goods under international shipment The absence individual goods in the parcel
7 Non-compliance individual goods in color, size, complications Damage to the goods during international shipment
8 Returns Policy: Click to go to the Help Center to view the Returns Policy
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NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Green)
NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Green)

BEST SELLERS

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Product Description

3-part Carbonless Patient Sign in forms, HIPAA Compliant, Green, 25 sheets per pack

If you’re a doctor, dentist, or other medical professional, the privacy of your patient is certainly important to you. Your patients need to know that their medical office can be trusted to keep their information confidential. With Next Day Label Patient Sign in Forms, you will easily be able to reassure them.

These forms are designed in a way that ensures that each patient’s information is concealed from others. The top sheet is composed of individual peel-away labels, which office staff removes once the patient has signed in. The middle sheet is a protective cover sheet. And the bottom sheet is where the information gets transferred and then filed away.

With 25 labels per sheet, this pack of 25 8½ x 11 forms accommodates 625 patient visits.

Additional details:

· The lines are numbered 1 thru 25. As each label is peeled away, the following patient simply goes to the next available line and number.

· HIPAA compliant, the forms protect patients’ privacy.

· The bottom log sheet, which contains all the transferred information, can be torn off at its perforation and filed away as a daily log report or in case of an audit.

Maintain professionalism and Efficiency

Our pre-printed sign-in forms help you maintain a professional, efficient office. Each label asks for the following information:

· Name

· Appointment time / Arrival time

· Name of professional with whom patient has appointment

· New patient or have you been here before?

· Changes to address, phone number, or insurance

Once the patient fills in their information, the office staff can either transfer the label to the patient’s chart to keep a record of all visits, or have the patient keep the label, so that instead of calling out the patient’s name loudly to the waiting room, the staff member can simply announce the number of the label. Either way, the patient’s privacy is protected.

Shipping Notices:
1 Contraband and limited items:
Clgarette,Alcohol,Contraband ?Do not accept
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Liquid,cream or cosmetics items are quantity limited in shopping agent service
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Chinese medicine is limited to ship by Chinese exporting goods.
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2 Limitation for different shipping methods:
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3 Yoybuy Product's Label:
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Sensitive Product(SEN)
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Product With battery
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Cream
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Powder
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Dangerous Products
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4 Volume weight Requested:
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volume weight=length*height*Width/5000
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one side must be less than 120cm,otherwise there is additional fee;250cm products can not be accept;
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Any side must be less than 60cm,otherwise you will be charged the greater one between real weight and volume weight,more than 120cm will be not accepted.
After Sale Service:
2 The rules apply and summit for receive compensation
3 The conditions of accrual for amount insurance
3 The conditions of accrual for amount insurance
5 Damage to the parcel during international shipping, which resulted in damage to the goods in it
6 Loss of individual goods under international shipment The absence individual goods in the parcel
7 Non-compliance individual goods in color, size, complications Damage to the goods during international shipment
...

BEST SELLERS

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