Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
$61.29
Highlights
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- 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
$61.29
125/pack
Free Returns
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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
Frequently bought together
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Price is $40.49
Free delivery by Mon, Sep 28
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Price is $8.29
Delivery by Wed, Sep 23
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Price is $10.75
Unit of measure Pack
Delivery by Wed, Sep 23
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Price is $43.79
Free delivery by Wed, Sep 23
30-min pickup
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Price is $67.79
Unit of measure 125/Pack
Free delivery by Tue, Sep 22
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Compare similar items
| 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 HIPAA Patient Consent and Authorization Form (A1350) | Cosco HIPAA Notice of Privacy Practices Forms with Acknowledgment Label, Spanish, 8-Part, 250/Pack (074045) |
|---|---|---|---|---|---|
Your product Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) Price is $61.29 Out of Stock |  Price is $73.89 |  Price is $133.79 |  Price is $54.19 |  Price is $152.59 | |
| Reviews | |||||
| Delivery Information | Data not available | Free delivery by Fri, Sep 25 | Free delivery by Fri, Sep 25 | Free delivery by Wed, Sep 30 | Free delivery by Wed, Sep 30 |
| Available in my store | No | No | No | No | No |
| Medical Form Type | Privacy Sign-In Sheets | Privacy Sign-In Sheets | Privacy Sign-In Sheets | Consent | Privacy Practice |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Medical Form Pack Size | 125 | 125 | 125 | 200 | 250 |
| Form Size | 8.5" x 11.625" | 8 1 / 2" x 11" | 8 1 / 2" x 11.63" | 8 1 / 2" x 11" | 8.5" x 11" |
| Pack Qty | 125 | 125 | 125 | 200 | 250 |
| Number of Parts | 3 | 1 | 2 | 1 | 8 |
| Length in Inches | 11.625 | 11 | 11 | 11 | 11 |
| Print Type | Digital | Inkjet / Laser | Inkjet / Laser | Inkjet / Laser | Digital |
| True Color | Blue | Blue | Salmon | White | Data not available |
| Price Per Unit | Data not available | Data not available | Data not available | Data not available | Data not available |
| Series or Collection | Confidential Sign-In Forms | Data not available | Data not available | HIPAA Patient Consent and Authorization Form | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Free delivery by Fri, Sep 25
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Delivery by Fri, Sep 25
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Delivery by Wed, Sep 30
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Price is $19.89
Delivery by Wed, Sep 30
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