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M6060 HIPAA Compliant Security Sign in Sheets 8 1/2 x 11 5/8"
Starting at
Sale price
$52.50
Regular price
$60.55
Manufacturer:
Nebs
Manufacturer Part No: M6060-6063
GTIN: 00810074459761
Specifications
M6060 HIPAA Compliant Security Sign In Sheets
Size: 8 1/2 x 11 5/8"
Self adhesive labels capture individual patient information and peel off for easy application to their chart, preventing patients from seeing each others information.
Respect the privacy of your patients.
Forms are two parts, sealed together at top and bottom with Carbon in between.
Once the top sheet has been filled, simply detach at perforations to reveal a full page of the carbon copy of all patient sign ins.
Size: 8 1/2 x 11 5/8"
Self adhesive labels capture individual patient information and peel off for easy application to their chart, preventing patients from seeing each others information.
Respect the privacy of your patients.
Forms are two parts, sealed together at top and bottom with Carbon in between.
Once the top sheet has been filled, simply detach at perforations to reveal a full page of the carbon copy of all patient sign ins.
- 23 Lines.
- Shrink Wrapped.
- Keep a Copy! Fill out top sheet and detach at perforations to reveal a full page carbon copy of all patient information.
- Secured: Forms are 2 parts sealed together at top and bottom.
- HIPAA Compliant.
- Sold in sets of 100 Sheets.
- 100% Satisfaction Guarantee.
- Higher quantities are available at discounted prices.
- Speak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.
Reviews
Specifications
M6060 HIPAA Compliant Security Sign In Sheets
Size: 8 1/2 x 11 5/8"
Self adhesive labels capture individual patient information and peel off for easy application to their chart, preventing patients from seeing each others information.
Respect the privacy of your patients.
Forms are two parts, sealed together at top and bottom with Carbon in between.
Once the top sheet has been filled, simply detach at perforations to reveal a full page of the carbon copy of all patient sign ins.
Size: 8 1/2 x 11 5/8"
Self adhesive labels capture individual patient information and peel off for easy application to their chart, preventing patients from seeing each others information.
Respect the privacy of your patients.
Forms are two parts, sealed together at top and bottom with Carbon in between.
Once the top sheet has been filled, simply detach at perforations to reveal a full page of the carbon copy of all patient sign ins.
- 23 Lines.
- Shrink Wrapped.
- Keep a Copy! Fill out top sheet and detach at perforations to reveal a full page carbon copy of all patient information.
- Secured: Forms are 2 parts sealed together at top and bottom.
- HIPAA Compliant.
- Sold in sets of 100 Sheets.
- 100% Satisfaction Guarantee.
- Higher quantities are available at discounted prices.
- Speak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.
Reviews