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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Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) is Your Product
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Price is $58.29
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Price for all 4
$89.22
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 $51.70
Free delivery by Fri, Sep 05
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Over 30
Price is $23.09
Delivery by Tue, Sep 02
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Price is $24.99
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Over 30
Price is $3.59
Unit of measure 2/Pack Price per unit $1.80/Refill
Delivery by Tue, Sep 02
30-min pickup
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Over 30
Price is $10.59
Unit of measure 250/Box Price per unit $0.04/Rubber Band
Delivery by Tue, Sep 02
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Staples Stainless Steel General Purpose Scissors, Pointed Tip, Assorted Colors, 3/Pack (52748)Â is In-store only
Price is $8.49, Regular price was $9.99, You save 15%
Unit of measure 3/Pack
30-min pickup
Price is $11.39
Delivery by Tue, Sep 02
30-min pickup
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Price is $15.79
Delivery by Tue, Sep 02
30-min pickup
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Price is $12.99
Unit of measure 4/Pack
Delivery by Tue, Sep 02
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Brother P-touch TZe-231 Laminated Label Maker Tape, 1/2" x 26-2/10', Black On White, 2/Pack (TZe-2312PK)Â is In-store only
Price is $26.49
Unit of measure 2/Pack Price per unit $13.24/Tape
See alternate delivery items
30-min pickup
Price is $9.19
Unit of measure 700/Pack Price per unit $0.01/Rubber Band
Delivery by Tue, Sep 02
30-min pickup
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Price is $10.09
Unit of measure 18/Pack
Delivery by Tue, Sep 02
30-min pickup
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Over 30
Price is $31.09
Unit of measure 500/Box Price per unit $0.06/Envelope
Delivery by Tue, Sep 02
30-min pickup
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Over 30
Price is $17.99, Regular price was $20.49, You save 12%
Unit of measure 100/Box Price per unit $0.18/File Folder
Delivery by Tue, Sep 02
30-min pickup
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Over 30
Price is $0.50, Regular price was $4.09, You save 87%
Delivery by Tue, Sep 02
30-min pickup
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Price is $70.09
Unit of measure 4000/Carton
Free delivery by Tue, Sep 02
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Price is $0.50, Regular price was $4.09, You save 87%
Delivery by Tue, Sep 02
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Price is $149.99, Regular price was $319.99, You save 53%
Free delivery by Tue, Sep 02
30-min pickup
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Price is $144.99, Regular price was $299.99, You save 51%
Free delivery by Tue, Sep 02
30-min pickup
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Compare similar items
| Attributes | Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) | Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530) | Tabbies Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532) | Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531) | Adams Health Insurance Claims (CMS1500CV) |
|---|---|---|---|---|---|
Your product Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) Price is $58.29 |  Price is $68.19 |  Price is $66.09 |  Price is $72.09 |  Price is $10.46 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Sep 09 | Free delivery by Wed, Sep 03 | Free delivery by Tue, Sep 02 | Free delivery by Tue, Sep 02 | Pick up in 30 minutes |
| Available in my store | No | No | No | No | Yes |
| Medical Form Type | Privacy Sign-In Sheets | Privacy Sign-In Sheets | Privacy Sign-In Sheets | Privacy Sign-In Sheets | Health Insurance Claims |
| Form Size | 8.5" x 11.625" | 8 1 / 2" x 11.63" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 9 1 / 2" x 11" |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 9.5 |
| Medical Form Pack Size | 125 | 125 | 125 | 125 | 100 |
| Length in Inches | 11.625 | 11 | 11 | 11 | 11 |
| Number of Parts | 3 | 2 | 3 | 1 | Data not available |
| Print Type | Digital | Inkjet / Laser | Inkjet / Laser | Inkjet / Laser | Data not available |
| True Color | Blue | Salmon | Data not available | Blue | White |
| Pack Qty | 125 | 125 | 1 | 125 | 100 |
| Series or Collection | Confidential Sign-In Forms | Data not available | Data not available | Data not available | ADA |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $79.69
Unit of measure 500/Box
Free delivery by Thu, Sep 04
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Price is $49.59
Unit of measure 250/Box
Free delivery by Thu, Sep 04
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Price is $52.59
Unit of measure 50/Pack
Free delivery by Thu, Sep 04
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Price is $58.79
Unit of measure 50/Pack
Free delivery by Thu, Sep 04
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Price is $18.69
Unit of measure 100/Pack
Delivery by Thu, Sep 04
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Price is $26.49
Unit of measure 50/Pack
Delivery by Thu, Sep 04
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Price is $56.19
Free delivery by Tue, Sep 09
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Price is $65.39
Unit of measure 500/Ream
Free delivery by Thu, Sep 04
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Price is $56.99
Unit of measure 50/Pack
Free delivery by Thu, Sep 04
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Price is $33.29
Delivery by Tue, Sep 09
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Price is $31.09
Unit of measure 100/Pack
Delivery by Thu, Sep 04
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Price is $57.29
Free delivery by Tue, Sep 09
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Price is $17.39
Unit of measure 50/Pack
Delivery by Thu, Sep 04
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Price is $19.59
Delivery by Tue, Sep 09
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Price is $64.19
Unit of measure 50/Pack
Free delivery by Thu, Sep 04
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