https://www.staples-3p.com/s7/is/image/Staples/C5581B67-7390-4CA1-91DC0C08F75DF6F5_sc7
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
$61.29
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)~#|#~C5581B67-7390-4CA1-91DC0C08F75DF6F5_sc7
Highlights
View all details
  • Patient Bilingual Sign-In Label forms to sign in your patients confidentially
  • HIPAA Compliant
  • 125 Sheets Per Package
MADE IN AMERICA

Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)

Item #: 24617599Model #: 074042
Ask a question
$61.29
125/pack

Free Returns

Online. In store. Always free.

Learn More

Sign in to unlock exclusive deals and picks just for you. sign in
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30

Consider this similar product

Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074043)~#|#~7B3C1D33-87B8-490F-BFB3175D562F942E_sc7
Price is $61.29
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Customers bought together
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)~#|#~86B0C5DB-D89B-4375-A1A9FB754D2434C5_sc7Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)~#|#~C5581B67-7390-4CA1-91DC0C08F75DF6F5_sc7
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) is Your Product
Price is $61.29
Pendaflex Essentials File Folders, 1/3-Cut Tab, Letter Size, Manila, 100/Box (752 1/3)~#|#~D11D58C3-46E6-43A7-9C047BE614DFC4D7_sc7Pendaflex Essentials File Folders, 1/3-Cut Tab, Letter Size, Manila, 100/Box (752 1/3)~#|#~D78FD954-11CF-41A0-A71BBCB7CCD8766E_sc7
Price is $18.69
Medical Arts Press® Barkley® & Sycom® Compatible Alpha Sheet Style Labels, "M"~#|#~m002247172_sc7
Price is $3.39
JAM Paper Plastic POP 2-Pocket Presentation Folder, Multicolored, Assorted Colors, 6/Pack (383Eassrtd)~#|#~sp150961943_sc7
Price is $26.19
Price for all 4
$109.56

    • About this product

    Bilingual confidential patient sign-in sheets

    Meet Federal Regulations by limiting access to personal health information with our HIPAA patient compliant sign-in sheets.

    • Patient Bilingual Sign-In Label forms to sign in your patients confidentially
    • HIPAA Compliant
    • 125 Sheets Per Package
    • 25 Lines Per Sheet
    • Blue Forms

    Compare similar items

    Product specifications table
    Attributes Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531) Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530) ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354) Tabbies Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532)
    Your product
    Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
    Price is $61.29
    Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531)~#|#~sp42125392_sc7
    Price is $73.89
    Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530)~#|#~sp45442229_sc7
    Price is $133.79
    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)~#|#~s0456534_sc7
    Price is $45.39
    Tabbies Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532)~#|#~D2DA0782-B902-4538-99076EEAC632DAD9_sc7
    Price is $67.79
    Reviews
    4.33
    6
    5
    8
    4.57
    14
    No reviews yet
    4
    4
    Delivery Information
    Free delivery by Wed, Aug 19
    Free delivery by Fri, Aug 14
    Free delivery by Fri, Aug 14
    Free delivery by Wed, Aug 19
    Free Next-Day eligible by tomorrow
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Type
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Practice
    Privacy Sign-In Sheets
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Medical Form Pack Size
    125
    125
    125
    200
    125
    Length in Inches
    11.625
    11
    11
    11
    11
    Print Type
    Digital
    Inkjet / Laser
    Inkjet / Laser
    Inkjet / Laser
    Inkjet / Laser
    Form Size
    8.5" x 11.625"
    8 1 / 2" x 11"
    8 1 / 2" x 11.63"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Number of Parts
    3
    1
    2
    1
    3
    True Color
    Blue
    Blue
    Salmon
    White
    White
    Pack Qty
    125
    125
    125
    200
    1
    Series or Collection
    Confidential Sign-In Forms
    Data not available
    Data not available
    Patient Acknowledgment of Receipt
    Data not available
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    featuredProductsCarouselImage
    featuredProductsCarouselImage