NCR Carbonless 3 Part Patient Sign in Forms with Peel Away Adhesive Labels,8-1/2" x 11" Form,HIPAA Approved and Compliant for Confidentiality in All Medical Offices（Blue）
$15.99
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$15.99
Price when purchased online
Free shipping
Free 30-day returns
Sold and shipped by crozbiotech.com
Free 30-day returns Details
Product details
| Management number | 234203338 | Release Date | 2026/06/27 | List Price | $6.40 | Model Number | 234203338 | ||
|---|---|---|---|---|---|---|---|---|---|
| Category | |||||||||
- Meet the privacy and confidentiality requirements of HIPAA.
- Three-part carbonless sign-in sheets.
- Allows patients to sign in without seeing the information of other patients.
- After patients sign in, labels peel off top of form, showing no protected information. imprinted on the bottom of the form for staff use.
- 20 sheets accommodates 600 patient visits.
| ASIN | B0BMGWYBB4 |
|---|---|
| Size | 25 sheet |
| Color | Blue |
| Style | 20 |
| Ink Color | Blue |
| Brand Name | KIKIGO |
| Item Shape | Rectangular |
| Unit Count | 1.0 Count |
| Manufacturer | KIKIGO |
| Model Number | 6688 |
| Material Type | Paper |
| Number of Items | 20 |
| Number of Labels | 20 |
| Warranty Description | 10 |
| Manufacturer Part Number | 6688 |
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