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Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
$61.29
  • 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

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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

    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 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 Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
    Your product
    Price is $61.29
    Out of Stock
    Reviews
    4.57
    14
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    Delivery Information
    Data not available
    Free Next-Day eligible by tomorrow
    Free delivery by Thu, Jul 23
    Free delivery by Thu, Jul 23
    Free delivery by Mon, Jul 27
    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 Practice
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Medical Form Pack Size
    125
    125
    125
    125
    200
    Length in Inches
    11.625
    11
    11
    11
    11
    Print Type
    Digital
    Inkjet / Laser
    Inkjet / Laser
    Inkjet / Laser
    Inkjet / Laser
    Form Size
    8.5" x 11.625"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11.63"
    8 1 / 2" x 11"
    Number of Parts
    3
    3
    1
    2
    1
    True Color
    Blue
    White
    Blue
    Salmon
    White
    Pack Qty
    125
    1
    125
    125
    200
    Series or Collection
    Confidential Sign-In Forms
    Data not available
    Data not available
    Data not available
    Patient Acknowledgment of Receipt
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
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