Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
$61.29
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
$61.29
125/pack
Free Returns
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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
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Price is $39.99, Regular price was $71.59, You save 44%
Unit of measure 4000/Carton Price per unit $5.00/Ream
Free delivery by Mon, Nov 02
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Price is $449.00
Free delivery by Mon, Nov 02
30-min pickup
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NeeDoh Dream Drop, Color Chosen at Random (DRDND)Â is In-store only
Price is $6.29
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Price is $18.49
Unit of measure 100/Box Price per unit $0.18/File Folder
Delivery by Mon, Nov 02
30-min pickup
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Schylling NeeDoh Cool Cats Stress Ball, Assorted Colors (CCND)Â is In-store only
Price is $5.29
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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) | Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531) | ComplyRight Notice of Privacy Practice, 100/Pack (A1349) | ComplyRight 1-Part Confidential Employee Record Folder, 25/Pack (A0503) |
|---|---|---|---|---|---|
Your product Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) Price is $61.29 Out of Stock |  Price is $67.79 |  Price is $73.89 |  Price is $19.59 |  Price is $96.49 | |
| Reviews | |||||
| Delivery Information | Data not available | Free delivery by Mon, Nov 02 | Free delivery by Wed, Nov 04 | Delivery by Tue, Nov 10 | Free delivery by Tue, Nov 10 |
| 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 Practice | Medical Records Folders |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 11.5 |
| Medical Form Pack Size | 125 | 125 | 125 | 100 | 25 |
| Form Size | 8.5" x 11.625" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available |
| Pack Qty | 125 | 1 | 125 | 1 | 25 |
| Number of Parts | 3 | 3 | 1 | Data not available | 1 |
| Length in Inches | 11.625 | 11 | 11 | 11 | Data not available |
| Print Type | Digital | Inkjet / Laser | Inkjet / Laser | Data not available | Inkjet / Laser |
| True Color | Blue | White | Blue | White | White / Blue |
| Price Per Unit | Data not available | Data not available | Data not available | Data not available | $3.86 / File Folder |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
