BLUE HIPAA CONFIDENTIAL PATIENT SIGN-IN SHEETS WITH ADHESIVE PEEL-OFF STRIPS (HIP02)
Our most popular HIPAA form, HIP02, now comes in 5 colors, Bi-Lingual, English/Spanish Version (Blue Only), Non Medical and Out Of Country versions.
The standard background color is blue, but green, burgundy, orange and purple are also available at no extra cost. This is a great option for multiple office locations or departments.
How it works: Each of the 25 signature lines is an adhesive label. The labels are numbered 1-25. When the patient signs in, the information is transferred through a carbonless sheet to a patient log sheet on the back of the form for the desk attendant to access. The attendant then peels off the label revealing an information blocking sheet that says "Please Use Next Line". This new feature guides the next patient to sign in on the appropriate line. The label can then be removed and attached to the patient's file to keep a history of his or her visits. No information is visible to the patients.
Each pack contains 125 sign-in forms – enough to see 3,125 patients!
Our most popular HIPAA form, HIP02, now comes in 5 colors, Bi-Lingual, English/Spanish Version (Blue Only), Non Medical and Out Of Country versions.
The standard background color is blue, but green, burgundy, orange and purple are also available at no extra cost. This is a great option for multiple office locations or departments.
How it works: Each of the 25 signature lines is an adhesive label. The labels are numbered 1-25. When the patient signs in, the information is transferred through a carbonless sheet to a patient log sheet on the back of the form for the desk attendant to access. The attendant then peels off the label revealing an information blocking sheet that says "Please Use Next Line". This new feature guides the next patient to sign in on the appropriate line. The label can then be removed and attached to the patient's file to keep a history of his or her visits. No information is visible to the patients.
Each pack contains 125 sign-in forms – enough to see 3,125 patients!
Our most popular HIPAA form, HIP02, now comes in 5 colors, Bi-Lingual, English/Spanish Version (Blue Only), Non Medical and Out Of Country versions.
The standard background color is blue, but green, burgundy, orange and purple are also available at no extra cost. This is a great option for multiple office locations or departments.
How it works: Each of the 25 signature lines is an adhesive label. The labels are numbered 1-25. When the patient signs in, the information is transferred through a carbonless sheet to a patient log sheet on the back of the form for the desk attendant to access. The attendant then peels off the label revealing an information blocking sheet that says "Please Use Next Line". This new feature guides the next patient to sign in on the appropriate line. The label can then be removed and attached to the patient's file to keep a history of his or her visits. No information is visible to the patients.
Each pack contains 125 sign-in forms – enough to see 3,125 patients!