Patient Sign-in Sheets, HIPAA Compliant, 12 Sheets, Carbonless 3-Part Forms with Peel-Off Labels & Date Column, for Medical Offices, Dental Clinic (Blue,12 Sets-300 Labels)

★★★★★ 4.4 95 reviews
US$4.00
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Price when purchased online
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Product details

Management number 231263900 Release Date 2026/06/18 List Price US$4.00 Model Number 231263900
Category
  1. Industrial & Scientific
  2. Professional Medical Supplies
  3. Recordkeeping & Labels
  4. Medical Filing Supplies
  • 【100% HIPAA-Compliant Patient Privacy】 HIPAA-compliant sign-in sheets, 8.5*11 inches, with 3-part carbonless technology, patient information is automatically transferred to a concealed log sheet for complete confidentiality. Labels are removed, the next patient cannot see the previous patient's information.
  • 【Smart Peel-Off Label System】 Self-adhesive peel-off labels easily transfer to patient charts/folders-no rewriting needed!Strong adhesive prevents peeling, and the bottom sheet can be retained as a daily log report or audit reference.
  • 【Date Column Design】 Patients who come in on different days can sign in on the same page to avoid wasted.
  • 【Start Small, Save Big】 Affordable trial pack for 300 patient visits, Ideal for new/small dental offices, doctors' offices, Save money and get great value on medical supplies.
  • 【Bonus File Organizer】 Includes a FREE waterproof file folder for secure record-keeping.
ASIN B0FCDJJQG8
Size letter
Color Blue
Style Classic
Ink Color bule
Brand Name RelinPOE
Item Shape Rectangular
Unit Count 12.0 Count
Item Weight 203 Grams
Manufacturer PORULIAN
Model Number PSI-12
Material Type Paper
Number of Items 12
Number of Labels 300
Manufacturer Part Number PSI-12

Patient Sign-in Sheets, HIPAA Compliant, 12 Sheets, Carbonless 3-Part Forms with Peel-Off Labels & Date Column, for Medical Offices, Dental Clinic (Blue,12 Sets-300 Labels)

Patient Sign-in Sheets, HIPAA Compliant, 12 Sheets, Carbonless 3-Part Forms with Peel-Off Labels & Date Column, for Medical Offices, Dental Clinic (Blue,12 Sets-300 Labels)

Patient Sign-in Sheets, HIPAA Compliant, 12 Sheets, Carbonless 3-Part Forms with Peel-Off Labels & Date Column, for Medical Offices, Dental Clinic (Blue,12 Sets-300 Labels)

Patient Sign-in Sheets, HIPAA Compliant, 12 Sheets, Carbonless 3-Part Forms with Peel-Off Labels & Date Column, for Medical Offices, Dental Clinic (Blue,12 Sets-300 Labels)

Patient Sign-in Sheets, HIPAA Compliant, 12 Sheets, Carbonless 3-Part Forms with Peel-Off Labels & Date Column, for Medical Offices, Dental Clinic (Blue,12 Sets-300 Labels)

Patient Sign-in Sheets, HIPAA Compliant, 12 Sheets, Carbonless 3-Part Forms with Peel-Off Labels & Date Column, for Medical Offices, Dental Clinic (Blue,12 Sets-300 Labels)

Patient Sign-in Sheets, HIPAA Compliant, 12 Sheets, Carbonless 3-Part Forms with Peel-Off Labels & Date Column, for Medical Offices, Dental Clinic (Blue,12 Sets-300 Labels)

Patient Sign-in Sheets, HIPAA Compliant, 12 Sheets, Carbonless 3-Part Forms with Peel-Off Labels & Date Column, for Medical Offices, Dental Clinic (Blue,12 Sets-300 Labels)

Patient Sign-in Sheets, HIPAA Compliant, 12 Sheets, Carbonless 3-Part Forms with Peel-Off Labels & Date Column, for Medical Offices, Dental Clinic (Blue,12 Sets-300 Labels)

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