Duplicate Sign-In Sheet, Bilingual, 8-1/2" x 11"
Availability: Temporarily out of stock. Expected to be available within 5 business days.
$58.69
Item
ULVS2014W
Product Text
WELCOME! Please sign in. (Bienvenidol Por favor registresu llegada) Patient Name Arrival Time Appoint. Time New Patient Change in Address/Phone/Insurance (Nombre del paciente)
Product Usage
Bilingual English/Spanish Patient Sign-in sheets feature 23 peel-away labels with hidden duplicate copy for records. Helps to adhere to HIPAA guideline for patient confidentiality.
Width
8-1/2
Height
11
Color
Blue
Adhesive
Permanent
Material
Coated paper
Packaging
23 Labels/Sheet-100 Sheets/Pack
UOM
PK
Total Qty
2300 Labels
UPC
848093046105
Temperature Use Range Minimum
X
Temperature Use Range Max
X