Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
$61.29
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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
Final price is $61.29
125/pack
Free Returns
Online. In store. Always free.
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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 $14.39
Next-Day Delivery by tomorrow
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Price is $17.69
Delivery by Fri, May 29
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Price is $70.19
Unit of measure 250/Carton Price per unit $0.28/Bag
Free Next-Day eligible by tomorrow
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Price is $16.19
Delivery by Fri, May 29
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Price is $35.19
Unit of measure 100/Pack
Free Next-Day eligible by tomorrow
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Price is $13.59
Delivery by Fri, May 29
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Price is $13.49
Next-Day Delivery by tomorrow
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Price is $11.99
Unit of measure 96/Pack
Next-Day Delivery by tomorrow
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Price is $13.89
Unit of measure 12/Pack
Next-Day Delivery by tomorrow
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Price is $76.39
Unit of measure 100/Carton Price per unit $0.76/Bag
Free Next-Day eligible by tomorrow
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Price is $13.69
Next-Day Delivery by tomorrow
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Price is $16.99
Unit of measure 8/Pack Price per unit $2.12/Pen
Next-Day Delivery by tomorrow
30-min pickup
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Price is $54.69
Unit of measure 20/Carton Price per unit $0.61/100 sheets
Free Next-Day eligible by tomorrow
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Price is $26.39
Unit of measure 500/Ream
Next-Day Delivery by tomorrow
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Price is $17.09
Unit of measure 500/Ream
Next-Day Delivery by tomorrow
30-min pickup
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Price is $15.99
Price per unit $2.00/Pen
Next-Day Delivery by tomorrow
30-min pickup
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Price is $95.09
Unit of measure 80/Carton Price per unit $0.26/100 sheets
Free Next-Day eligible by tomorrow
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Price is $14.79
Unit of measure 750/Pack Price per unit $0.02/Label
Next-Day Delivery by tomorrow
30-min pickup
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Price is $6.29
Unit of measure 3/Pack Price per unit $2.10/Staple Remover
Next-Day Delivery by tomorrow
30-min pickup
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Price is $49.49
Unit of measure 6/Pack Price per unit $0.82/oz.
Free Next-Day eligible by tomorrow
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Compare similar items
| Attributes | Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) | Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531) | Tabbies Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532) | Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530) | Cosco Notice of Privacy Practices with Label, Spanish, 8-Part, 250 Forms/Pack (074045) |
|---|---|---|---|---|---|
Your product Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) Price is $61.29 |  Price is $73.89 |  Price is $67.79 |  Price is $133.79 |  Price is $152.59 | |
| Reviews | |||||
| Delivery Information | Free delivery by Mon, Jun 01 | Free delivery by Thu, May 21 | Free Next-Day eligible by tomorrow | Free delivery by Fri, May 22 | Free delivery by Mon, Jun 01 |
| 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 |
| Medical Form Pack Size | 125 | 125 | 125 | 125 | 250 |
| Form Size | 8.5" x 11.625" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11.63" | 8.5" x 11" |
| Number of Parts | 3 | 1 | 3 | 2 | 8 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Length in Inches | 11.625 | 11 | 11 | 11 | 11 |
| Print Type | Digital | Inkjet / Laser | Inkjet / Laser | Inkjet / Laser | Digital |
| True Color | Blue | Blue | White | Salmon | Data not available |
| Pack Qty | 125 | 125 | 1 | 125 | 250 |
| Series or Collection | Confidential Sign-In Forms | Data not available | Data not available | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
