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)
$59.79
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
  • 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
$59.79
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 Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040)~#|#~EC8D77B4-AFCA-45F3-A1ED3E5B8288210F_sc7
Price is $59.79
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 $59.79
Staples File Folders, 1/3-Cut Tab, Letter Size, Kraft, 100/Box (ST509315-CC)~#|#~s1227786_sc7Staples File Folders, 1/3-Cut Tab, Letter Size, Kraft, 100/Box (ST509315-CC)~#|#~85EB3EE5-3481-4D92-86A79314A48FFFAE_sc7
Price is $25.69
Smead AlphaZ ACCS Color-Coded Labels, A-Z Index, Assorted Colors, 2200/Box (67170)~#|#~F9C6CDC0-6DF8-4D3D-9B9BAA429579EEF8_sc7Smead AlphaZ ACCS Color-Coded Labels, A-Z Index, Assorted Colors, 2200/Box (67170)~#|#~2FBEDA46-8995-4860-AD0F81059DE8D681_sc7
Price is $126.79
Staples Smooth 2-Pocket Paper Folder, Orange, 25/Box (27535-CC)~#|#~EA7C57BB-A785-4784-AA9FEAF850A0783A_sc7Staples Smooth 2-Pocket Paper Folder, Orange, 25/Box (27535-CC)~#|#~0A8A3D7E-A783-4555-87B9CC172A27EF78_sc7
Price is $18.19
Price for all 4
$230.46
  • 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 Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532) Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530) Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531) Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)
    Your product
    Price is $59.79
    Reviews
    3.67
    3
    4.62
    13
    Delivery Information
    Free delivery by Mon, Feb 23
    Free Next-Day eligible by Mon, Feb 16
    Free Next-Day eligible by Mon, Feb 16
    Free Next-Day eligible by Mon, Feb 16
    Free delivery by Mon, Feb 23
    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 Sign-In Sheets
    Privacy Sign-In Sheets
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Medical Form Pack Size
    125
    125
    125
    125
    125
    Length in Inches
    11.625
    11
    11
    11
    11.625
    Print Type
    Digital
    Inkjet / Laser
    Inkjet / Laser
    Inkjet / Laser
    Digital
    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 11.625"
    Number of Parts
    3
    3
    2
    1
    3
    True Color
    Blue
    White
    Salmon
    Blue
    Blue
    Pack Qty
    125
    1
    125
    125
    125
    Series or Collection
    Confidential Sign-In Forms
    Data not available
    Data not available
    Data not available
    Confidential Sign-In Forms
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    featuredProductsCarouselImage
    featuredProductsCarouselImage