Home / Nurse's Station and Office Supplies / Forms / Health Care Form / Health Care Form Patient Sign In Sheet 8-1/2 X 11 Inch901-20315
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Health Care Form Patient Sign In Sheet 8-1/2 X 11 Inch901-20315

Health-Care-Form-Patient-Sign-In-Sheet-8-1-2-X-11-Inch901-20315

SKU #

#1125648

MPN #

901-20315

Brand

Medical Arts Press

Stock

In Stock

Quantity

100

Features

SHEET, SIGN-IN 2PARY PRIVACY (125/PK)

$98.61 USD

Product Specifications Product Usage Additional Information
Print
Attribute Name Attribute Value
McKesson # 1125648
Manufacturer # 901-20315
Manufacturer Medical Arts Press
Application Health Care Form
Color Blue
Dimensions 8-1/2 X 11 Inch
Type Patient Sign In Sheet
UNSPSC Code 42142304
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  • Privacy sign-in sheets that provide the level of privacy that patients expect
  • Number of parts: 2
  • 125 sheets per package
  • 20 lines per form
  • Sheets provides for patient name, arrival time, appointment time, doctor or dept, indicate yes or no for any changes to information and numbering system if office chooses to use
  • Patient signs on removable strips that have adhesive backs for attaching to patient charts to improve record keeping