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
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
Show all reviews
Ask a question
$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 Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041)~#|#~37F22410-C31B-4B1D-A1B44EAABC2C06B1_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 BCCR Labels File Folder Label, U, Light Orange, 500 Labels/Pack (67091)~#|#~78F128DE-D0E5-4B3F-B312F5542EDA1835_sc7Smead BCCR Labels File Folder Label, U, Light Orange, 500 Labels/Pack (67091)~#|#~6C568CF9-CDA0-4593-83B34A4B56275D7A_sc7
Price is $24.09
Staples Glossy 2-Pocket Paper Folder, Light Blue, 10/Pack (13373-CC)~#|#~4A742A39-D1BD-417B-8DAB59CB162A6ECD_sc7Staples Glossy 2-Pocket Paper Folder, Light Blue, 10/Pack (13373-CC)~#|#~5B0E6E98-FEB2-409B-952DFCAAEB1665FC_sc7
Price is $14.09
Price for all 4
$123.66

    • 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) Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041) 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)
    Your product
    Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
    Price is $59.79
    Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041)~#|#~37F22410-C31B-4B1D-A1B44EAABC2C06B1_sc7
    Price is $59.79
    Tabbies Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532)~#|#~D2DA0782-B902-4538-99076EEAC632DAD9_sc7
    Price is $67.79
    Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530)~#|#~sp45442229_sc7
    Price is $133.79
    Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531)~#|#~sp42125392_sc7
    Price is $73.89
    Reviews
    5
    3
    5
    3
    4
    4
    4.62
    13
    5
    7
    Delivery Information
    Free delivery by Wed, Apr 01
    Free delivery by Wed, Apr 01
    Free delivery by Tue, Mar 24
    Free delivery by Tue, Mar 24
    Free delivery by Tue, Mar 24
    Available in my store
    No
    No
    No
    No
    No
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Medical Form Type
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Form Size
    8.5" x 11.625"
    8.5" x 11.625"
    8 1 / 2" x 11"
    8 1 / 2" x 11.63"
    8 1 / 2" x 11"
    Length in Inches
    11.625
    11.625
    11
    11
    11
    Pack Qty
    125
    125
    1
    125
    125
    Medical Form Pack Size
    125
    125
    125
    125
    125
    True Color
    Burgundy
    Burgundy
    White
    Salmon
    Blue
    Series or Collection
    Confidential Sign-In Forms
    Confidential Sign-In Forms
    Data not available
    Data not available
    Data not available
    Number of Parts
    3
    3
    3
    2
    1
    Print Type
    Digital
    Digital
    Inkjet / Laser
    Inkjet / Laser
    Inkjet / Laser
    Price Per Unit
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    featuredProductsCarouselImage
    featuredProductsCarouselImage