https://www.staples-3p.com/s7/is/image/Staples/EC8D77B4-AFCA-45F3-A1ED3E5B8288210F_sc7
Cosco Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040)
$56.29
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Cosco Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040)~#|#~EC8D77B4-AFCA-45F3-A1ED3E5B8288210F_sc7
Cosco Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040)~#|#~D17B181A-4569-42CF-B0AA3ED3B322E523_sc7
Cosco Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040)~#|#~B9778DD7-686F-487C-B19F7DC043AC2D43_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 Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040)

Item #: 24617596Model #: 074040
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Only $9.89 Staples Smooth Paper Clips, 1000/pack. Add to cart.
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Cosco Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040)~#|#~D17B181A-4569-42CF-B0AA3ED3B322E523_sc7Cosco Privacy Sign-In Sheets, 3-Part, 125 Forms/Pack (074040)~#|#~EC8D77B4-AFCA-45F3-A1ED3E5B8288210F_sc7
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    • Details

    About this product

    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
    • Green Forms

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    Specifications
    Specifications table
    Attribute nameAttribute value
    Medical Form Type Privacy Sign-In Sheets
    Form Size
    		8.5" x 11.625"
    Pack Qty 125
    True Color
    		Green
    Number of Parts 3
    Width in Inches
    		8.5
    Medical Form Pack Size 125
    Length in Inches 11.625
    Print Type Digital
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    Reviews
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    4.6
    9
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    5
    1
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    3
    2
    4.4
    9
    Delivery Information
    Free delivery by Mon, May 05
    Free delivery by Mon, Apr 28
    Free delivery by Mon, May 05
    Free delivery by Mon, May 05
    Free Next-Day eligible by tomorrow
    Free delivery by Mon, May 05
    Free delivery by Mon, May 05
    Free delivery by Fri, May 02
    Delivery by Tue, May 06
    Delivery by Fri, May 02
    Free delivery by Fri, May 02
    Free delivery by Fri, May 02
    Free delivery by Mon, May 05
    Free Next-Day eligible by tomorrow
    Pick up in 1 hour
    Available in my store
    No
    No
    No
    No
    No
    No
    No
    No
    No
    No
    No
    No
    No
    No
    Yes
    Medical Form Type
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Dental Claims
    Health Insurance Claims
    Dental Claims
    Dental Claims
    Dental Claims
    Privacy Practice
    Privacy Sign-In Sheets
    Health Insurance Claims
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    9.5
    Medical Form Pack Size
    125
    125
    125
    125
    125
    125
    125
    2500
    500
    100
    1000
    500
    100
    125
    100
    Length in Inches
    11.625
    11
    11.625
    11.625
    11
    11.624
    11.625
    11
    11
    11
    11
    11
    11
    11
    11
    Form Size
    8.5" x 11.625"
    8 1 / 2" x 11.63"
    8.5" x 11.625"
    8.5" x 11.625"
    8 1 / 2" x 11"
    8.5" x 11.625"
    8.5" x 11.625"
    8-1 / 2" x 11"
    Data not available
    8-1 / 2" X 11"
    8-1 / 2" x 11"
    8-1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    9 1 / 2" x 11"
    Print Type
    Digital
    Inkjet / Laser
    Digital
    Digital
    Inkjet / Laser
    Digital
    Digital
    Laser
    Laser
    Laser
    Laser
    Laser
    Data not available
    Inkjet / Laser
    Data not available
    Number of Parts
    3
    2
    3
    3
    1
    3
    3
    1
    Data not available
    1
    1
    1
    Data not available
    3
    Data not available
    True Color
    Green
    Salmon
    Blue
    Data not available
    Blue
    Data not available
    Blue
    White
    Data not available
    White
    White
    White
    White
    Data not available
    White
    Pack Qty
    125
    125
    125
    125
    125
    125
    125
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    1
    1
    100
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