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Patient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms Total

$162.40
LABEL, PATIENT SING-IN 8 1/2X11 5/8 125SHEETS GREEN
SKU
1001017467
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Product Specifications

SLI Medical #1017467
Manufacturer #TAB-14532
ManufacturerTabbies®
Country of OriginUnited States
Color FamilyGreen
Copy TypesTwo-Part Carbon
Dated/UndatedUndated
Form Quantity (Total)125
Form Size8.5 x 11.63
Form Type DetailsMedical Admission
Format IndicatorUnbound
Forms Per Page1
Global Product TypeMedical Admission Forms
Number of Columns6
Number of Entry Lines23
Numbering Color(s)Black
Paper Color(s)Green
Post-Consumer Recycled Content Percent0%
Pre-Consumer Recycled Content Percent0%
Principal Heading(s)Any Changes Since Last Visit
Print and Ruling Color(s)Black
Sheet Size8.5 x 11.63
Special FeaturesGreen Sheets
Total Recycled Content Percent0%
UNSPSC14111806

Features

  • 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.
LABEL, PATIENT SING-IN 8 1/2X11 5/8 125SHEETS GREEN
Additional Information
Product NamePatient Sign-In Label Forms, Two-Part Carbon, 8.5 x 11.63, Green Sheets, 125 Forms Total
SKU1001017467
Price$162.40
Weight5.00
Featured ProductNo
Manufacturer SkuTAB-14532
UOMPK
ManufacturerTabbies®
Short DescriptionLABEL, PATIENT SING-IN 8 1/2X11 5/8 125SHEETS GREEN