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Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)
$61.29
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Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)~#|#~5FE7E395-509D-4A1E-B1F72B39512AF2AA_sc7
Highlights
View all details
  • Patient Sign-In Label forms to sign in your patients confidentially
  • HIPAA Compliant
  • 125 Sheets Per Package
MADE IN AMERICA

Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)

Item #: 24617595Model #: 074039
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$61.29
125/pack

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    • About this product

    Confidential patient sign-in sheets.

    Meet Federal Regulations by limiting access to personal health information with our HIPAA patient compliant sign-in sheets.

    • Patient 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 Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039) 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) TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
    Your product
    Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)
    Price is $61.29
    Tabbies Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532)~#|#~D2DA0782-B902-4538-99076EEAC632DAD9_sc7
    Price is $67.79
    Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531)~#|#~sp42125392_sc7
    Price is $73.89
    Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530)~#|#~sp45442229_sc7
    Price is $133.79
    TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)~#|#~s1172744_sc7
    Price is $93.89
    Reviews
    5
    5
    4
    4
    5
    7
    4.62
    13
    3.8
    5
    Delivery Information
    Free delivery by Mon, Jul 13
    Free delivery by Mon, Jul 06
    Free delivery by Tue, Jul 07
    Free delivery by Tue, Jul 07
    Free delivery by Thu, Jul 09
    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
    Health Insurance Claims
    Number of Parts
    3
    3
    1
    2
    1
    Medical Form Pack Size
    125
    125
    125
    125
    2500
    Print Type
    Digital
    Inkjet / Laser
    Inkjet / Laser
    Inkjet / Laser
    Laser
    Form Size
    8.5" x 11.625"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11.63"
    Data not available
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    Data not available
    Length in Inches
    11.625
    11
    11
    11
    Data not available
    True Color
    Blue
    White
    Blue
    Salmon
    White / Red
    Pack Qty
    125
    1
    125
    125
    250
    Series or Collection
    Confidential Sign-In Forms
    Data not available
    Data not available
    Data not available
    UB-04 CMS-1450
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
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