KIKIGO 125 Patient Sign in Sheets, HIPAA Compliant, Peel Off Adhesive Labels Carbonless 3 Part Forms for Privacy in Doctor Medical Dental Office

★★★★★ 4.2 111 reviews

US$14.40
Price when purchased online
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US$14.40
Price when purchased online
Free shipping Free 30-day returns

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Product details

Management number 211739706 Release Date 2026/04/04 List Price US$14.40 Model Number 211739706
Category

Description

  • Protect Patient Information: These HIPAA compliant sign-in forms are designed to conceal private patient information from others, ensuring confidentiality.
  • Peel Away Adhesive Labels: Each line on the form can be peeled away by staff members as patients sign in for their appointments, adding an extra layer of privacy.
  • Reusable Labels: The peel away adhesive labels have a sticky back that can be reapplied to your patient's medical folders or other office forms, making them convenient and cost-effective.
  • Transferable Information: 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.
  • Easy Access to Log Sheet: The log sheet with transferred information can be accessed by tearing away the perforated bottom edge, allowing for easy retrieval and retention as a daily log for audits or other reference needs.
Size 3" x 5"
Color Blue
Brand Name KIKIGO
Item Shape Rectangular
Unit Count 1.0 Count
Finish Type Protective Coating
Manufacturer KIKIGO
Material Type Paper
Item Type Name 125 sheets
Number of Labels 1
Warranty Description 3

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4.2 out of 5
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111 ratings | 46 reviews
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