Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
$58.29
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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
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$58.29
125/pack
Free Returns
Online. In store. Always free.
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Price is $58.29
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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
Price is $30.23, Regular price was $37.79, You save 20%
Unit of measure 9/Pack Price per unit $3.36/Roll
Next-Day Delivery by tomorrow
30-min pickup
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Price is $29.95
Delivery by Mon, Sep 29
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Price is $7.19
Delivery by Mon, Sep 29
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Price is $30.99
Unit of measure 60/Box Price per unit $0.52/Bag
Next-Day Delivery by tomorrow
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Price is $98.49
Unit of measure 6/Carton Price per unit $16.42/Roll
Free Next-Day eligible by tomorrow
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Price is $32.69
Next-Day Delivery by tomorrow
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Price is $39.09
Unit of measure 100/Carton
Free Next-Day eligible by tomorrow
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Price is $38.69
Unit of measure 500/Carton
Free Next-Day eligible by tomorrow
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Price is $9.99, Regular price was $17.39, You save 42%
Unit of measure 6/Pack Price per unit $0.02/Post-it® Note
Next-Day Delivery by tomorrow
30-min pickup
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Price is $38.89
Unit of measure 300/Pack Price per unit $0.13/Spoon
Free Next-Day eligible by tomorrow
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Over 30
Price is $32.79
Unit of measure 100/Box
Next-Day Delivery by tomorrow
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Over 30
Price is $11.89
Unit of measure 50/Pack Price per unit $0.24/Cup
Next-Day Delivery by tomorrow
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Price is $3.59
Unit of measure 2/Pack Price per unit $1.80/Refill
Next-Day Delivery by tomorrow
30-min pickup
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Price is $6.89
Unit of measure 3/Pack Price per unit $2.30/Pen
Next-Day Delivery by tomorrow
30-min pickup
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Price is $21.59
Unit of measure 25/Box Price per unit $0.86/Report Cover
Next-Day Delivery by tomorrow
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Price is $11.09
Unit of measure Dozen Price per unit $0.92/Pen
Next-Day Delivery by tomorrow
30-min pickup
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Price is $49.89
Unit of measure 200/Carton Price per unit $0.25/Bag
Free Next-Day eligible by tomorrow
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Price is $29.89
Price per unit $0.26/Load
Next-Day Delivery by tomorrow
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Price is $10.59
Unit of measure 250/Box Price per unit $0.04/Rubber Band
Next-Day Delivery by tomorrow
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Compare similar items
| Attributes | Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) | Tabbies Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532) | Adams Health Insurance Claims (CMS1500CV) | Cosco Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040) | Cosco Notice of Privacy Practices with Label, English, 8-Part, 250 Forms/Pack (074045) |
|---|---|---|---|---|---|
Your product Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) Price is $58.29 |  Price is $66.09 |  Price is $10.46 |  Price is $58.29 |  Price is $362.99 | |
| Reviews | |||||
| Delivery Information | Free delivery by Mon, Sep 29 | Free Next-Day eligible by tomorrow | Pick up in 30 minutes | Free delivery by Mon, Sep 29 | Free delivery by Mon, Sep 29 |
| Available in my store | No | No | Yes | No | No |
| Medical Form Type | Privacy Sign-In Sheets | Privacy Sign-In Sheets | Health Insurance Claims | Privacy Sign-In Sheets | Privacy Practice |
| Form Size | 8.5" x 11.625" | 8 1 / 2" x 11" | 9 1 / 2" x 11" | 8.5" x 11.625" | 8.5" x 11" |
| Width in Inches | 8.5 | 8.5 | 9.5 | 8.5 | 8.5 |
| Medical Form Pack Size | 125 | 125 | 100 | 125 | 250 |
| Length in Inches | 11.625 | 11 | 11 | 11.625 | 11 |
| Number of Parts | 3 | 3 | Data not available | 3 | 8 |
| Print Type | Digital | Inkjet / Laser | Data not available | Digital | Digital |
| True Color | Blue | Data not available | White | Green | Data not available |
| Pack Qty | 125 | 1 | 100 | 125 | 250 |
| Series or Collection | Confidential Sign-In Forms | Data not available | ADA | Privacy Sign-In Sheets | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $21.95
Delivery by Mon, Sep 29
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Price is $19.59
Delivery by Mon, Sep 29
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Price is $20.19
Delivery by Mon, Sep 29
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Price is $12.69
Delivery by Mon, Sep 29
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Price is $56.19
Free delivery by Mon, Sep 29
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Price is $59.59
Free delivery by Mon, Sep 29
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Price is $58.59
Unit of measure 50/Pack
Free delivery by Wed, Sep 24
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Price is $17.95
Delivery by Mon, Sep 29
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Over 30
Price is $21.69
Delivery by Mon, Sep 29
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Over 30
Price is $66.29
Unit of measure 50/Pack
Free delivery by Wed, Sep 24
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Price is $60.39
Free delivery by Mon, Sep 29
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Price is $65.39
Unit of measure 500/Ream
Free delivery by Wed, Sep 24
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Price is $79.69
Unit of measure 500/Box
Free delivery by Wed, Sep 24
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Over 30
Price is $17.39
Unit of measure 50/Pack
Delivery by Wed, Sep 24
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Over 30
Price is $57.29
Free delivery by Mon, Sep 29
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