Home > MEDICAL / CHIROPRACTIC > Medical Forms > HIPAA Forms >

Generic Privacy Sign-In
Privacy Patient Sign-In


 
FREE SHIPPING! Buy 3 packs of this Item and get FREE SHIPPING!

First Time Buyers use this Code FTB-1995 to receive a 10% Discount on This Product, just type the code into the coupon box at check out and hit apply.
List Price: $105.00
Your Price: $66.95
You Save $38.05!
Unit Qty: 125
Unit: pack
Overall Dimensions: 8-1/2" W x 11"


Product Code: W-GN-14037

Shipping

Shipping Charge*:
Order 1 - 2 Boxes or Packs Shipping Cost is $19.95
Order 3 or More Boxes or Packs Shipping is FREE!

Qty:  
Description Freight, Returns & Sales Tax Policies
 
Confidential Sign-In Sheets now have 27 sign in positions!
Columns
1) Number
2) Please Print Name
3) Appointment With'
4) Arrival Time
5) Appt. Time



Are you getting the best value for your Confidential Sign-In Sheets?


Most sign-in sheets have 20, 23 or 25 sign-in positions.
With ACS you get 27 sign-in positions per sheet which equals 250 more sign-ins per pack of 125.
  • 20 positions / 125 sheet pack = 2,500 sign-ins
  • 23 positions 125 sheet pack = 2,875 sign-ins
  • 25 positions / 125 sheet pack = 3,125 sign-ins
  • 27 positions / ACS Sign-in 125 sheet pack = 3,375 sign-ins.
More value for your Dollar.



Colors & Features
  • How to use this form:
    • The 27 signature lines are a peel off adhesive label.
    • The Signature labels are numbered 1-27.
    • Visitor signs in on the next available signature line
    • Their information is transferred through a carbonless sheet to a visitor log sheet on the back of the form.
    • If you use the number to call the visitor, instruct the visitor after signing to remove the number from the left-hand column next to their signature line.
    • The receptionist then may peel off the precut signature line of visitor information.
    • The visitor information is not visible to other visitors at this point. The security cover sheet (part 2 of the form) says "Please Use Next Line".
    • After completing an entire sheet or at the end of each day, separate the sheet by breaking the snap-set at the top and bottom perforations. Discard the top two sheets, you now have a complete, private list of all patients and their information. You can use these complete lists for reporting, daily audits or office records.


Products Frequently Bought Together
36" Wide File Shelving Heavy Duty Vinyl Stick-On Pockets Radiology Jacket Custom 6 Tab Divider Set
Your Price: $725.00

Add
Your Price: $36.00

Add
Your Price: $85.00

Add
Your Price: $2.10

Add
36 Single Entry Letter Size 4 Post Starter Unit Heavy Duty Vinyl Stick-On Pockets Radiology Jacket Non-Color Coded <!004>Custom 6 Tab Divider Set
TAB Match Year Label Outguides Poly Stick-On Pockets ALLERGY LABEL
Your Price: $13.95

Add
Your Price: $79.50

Add
Your Price: $24.00

Add
Your Price: $10.95

Add
Year Label Outguides Poly Stick-On Pockets ALLERGY LABEL
Times 2 Speed Cabinet Custom 8 Tab Poly Divider Set Custom 6 Tab Fileback Set 11 pt 2 Ply Color End Tab Folders
Your Price: $4,500.00

Add
Your Price: $4.69

Add
Your Price: $3.18

Add
Your Price: $235.00

Add
Times 2 Speed Files <!010>Custom 8  Tab Poly Divider Set <!004>Custom 6 Tab Fileback Set 11pt Reinforced Solid Color End Tab Folders
11 pt Manila 2 Ply End Tab Numeric Label ACS QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheets (package of 600) ACS Sliding Lateral Track
Your Price: $42.95

Add
Your Price: $19.95

Add
Your Price: $175.00

Add
Your Price: $6,500.00

Add
Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Numeric Label ACS QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheets (package of 600) ACS Lateral Track Movable Shelving Systems
Alpha Label Barkley Match Double Ply Top Tab Pocket Medi-Clip/Docu-Clip Bilingual Privacy Patient Sign-In
Your Price: $12.95

Add
Your Price: $59.50

Add
Your Price: $42.50

Add
Your Price: $66.95

Add
Barkley FABKM Match Double Ply Top Tab Pocket Docuclip  Fastener Bilingual Privacy Patient Sign-In
End Tab Expansion Pockets 14 pt Manila 2 Ply End Tab Month Label
Your Price: $79.00

Add
Your Price: $45.95

Add
Your Price: $10.95

Add
<!001>End Tab Expansion Pockets Heavy Duty 14 pt Manila 2 Ply End Tab Folder Month Label

Share your knowledge of this product with other customers... Be the first to write a review

Browse for more products in the same category as this item:

MEDICAL / CHIROPRACTIC
MEDICAL / CHIROPRACTIC > Medical Forms
DENTAL > Dental Forms
VETERINARY > Forms, Checks and Letterhead
Medical Forms and Books
OFFICE PRODUCTS > Forms and Books
MEDICAL / CHIROPRACTIC > Medical Forms > HIPAA Forms
MEDICAL / CHIROPRACTIC > Medical Forms > Confidential Patient Sign-In Sheets
DENTAL > Dental Forms > HIPAA
DENTAL > Dental Forms > Dental Patient Sign-In Forms
VETERINARY > Forms, Checks and Letterhead > Confidential Patient Sign-In Sheets
Medical Forms and Books > HIPAA Forms
Medical Forms and Books > Confidential Patient Sign-In Sheets
OFFICE PRODUCTS > Forms and Books > Confidential Patient Sign-In Sheets
MEDICAL / CHIROPRACTIC > HIPAA Compliant Products
MEDICAL / CHIROPRACTIC > Medical Forms > Sign-In Sheets