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Protect Your Patients' Privacy with ACS Sign-in Sheets for less than $.012 per patient sign in.
Patients fill personal information on removable strip. Carbon sheet transfers information to the back so other patients do not see previous patient’s information Meets HIPAA Requirements
Available in Salmon, Lt. Blue, Lt Green.
Each form has 6 columns for each patient to fill out and 23 patient positions to fill out on a numbered slip, when finished filling out they remove the slip and hand to the receptionist leaving a blank space on sign in sheet front page. The information is transferred via carbon paper to a master log. When patient removes the slip, that space is blank and the patient information is protected behind the carbon paper, available only for office use.
Columns:
1) Patient Name,
2) Arrival time,
3) Appointment time,
4) Name of staff appointment is with,
5) New patient check column
6) Any changes to patient information since last visit.
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