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Blue Summit Supplies 25 Patient Sign in Forms, Carbonless 3 Part Forms with Peel Away Adhesive Labels, HIPAA Compliant for Privacy in Doctor, Medical, Dental Office, Blue, 25 Pack

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$20.49

$ 10 .99 $10.99

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  • Keep your front desk secure while controlling patient flow with these carbonless 3-part patient sign-in forms, featuring a top sheet of peel-away labels, a security cover sheet in the middle, and a tear-away transfer sheet on the bottom
  • Maintain HIPAA compliance and keep patient information confidential thanks to the security sheet attached below the sign in sheet, so each patient can sign in safely without seeing information of other patients
  • Easily conceal patient information from public view while retaining a daily log of your sign in sheet for reference or audit purposes. Sign in information is instantly imprinted onto the transfer sheet below, yet remains securely blocked from the view of others
  • Each line on the signin sheet peels off to become a self-adhesive label sticker, which can be then applied directly to the patient folder, form, or other office records
  • Save money on your medical office supplies while retaining impeccable day to day records of patient arrivals and updates to their personal information. With 25 lines per sheet in this 25 pack of forms, you can serve up to 625 patient visits using this bulk pack of sign-in sheets



Product Description

Blue Summit Supplies
HIPAA Compliant Sign-In Sheets, Blue, 25 Count

Protect Patient Information with Confidential HIPAA Compliant Sign In Forms

We all want to know that our personal information is being protected by the professionals we trust most. These HIPAA compliant sign-in forms are designed to conceal private patient information from others, as each line on the form can be peeled away by staff members as patients sign in for their appointments.

  • Peel away adhesive labels have a sticky back that can be reapplied to your patient’s medical folders or other office forms
  • Information handwritten on the top layer of labels is transferred onto a log sheet below, but concealed by a security sheet that simply reads “Please Use Next Line” when the label above is peeled away
  • Log sheet with transferred information can be accessed by tearing away the perforated bottom edge, then retained as a daily log for audits or other reference needs

Welcome Patients to your Doctors Office with a Professional Sign In Form

Make a good impression on patients new and old with a tidy preprinted signin sheet, which also helps you control patient flow and arrivals while creating an activity log of daily patient activity.

Each sheet is intended for daily use and includes boxes for marking:

  • Patient name
  • Appointment time and arrival time
  • Name of the professional to be seen
  • If they are a new patient
  • If they have changes to their phone, address, or insurance

YURIDIA
Reviewed in the United States on August 9, 2022
I didn't give it 5 stars only because it doesn't have a column for the date. Since we only see patients two days a week. I whited out "Appt with" and put Date. LOL. Great for privacy!!
larissa hawkins
Reviewed in the United States on September 7, 2021
Item arrived timely. Quality Forms. Will buy from seller again.
jenny pardee
Reviewed in the United States on January 20, 2021
We love these for our medical office. They allow us to have a record of who signed in without compromising confidentiality.
amazona
Reviewed in the United States on September 28, 2019
Fast shipping great product perfect for my clinic and adhering to hippa
VCT
Reviewed in the United States on December 23, 2019
Love how easy they are to use and keeps us Hippa Compliant
Customer
Reviewed in the United States on December 19, 2019
My order arrived on time. I love the ease of using this product.
Roxanna McKinney
Reviewed in the United States on October 24, 2019
Product shipped quickly and was exactly as described
ND
Reviewed in the United States on October 13, 2019
These are great, and I love using these in my office! They are easy to use, and affordable!