Patient Sign-In Form – W-PSGN-BIL (Blue Bi-Lingual) Carbonless

Patient Sign-In Form – W-PSGN-BIL (Blue Bi-Lingual). Carbonless form.

English and Spanish Version.

Pack of 125; 25 Lines per sheet. One pack accommodates 3,125! The words “please use next line” will show once the label has been peeled off the original form. This will aid the patients in signing on the correct line.

Meets the privacy and confidentiality requirements of HIPAA

Allows clients to sign in without seeing the information of other clients

The office may use the label to add to the patient file or workflow tracking system or discard it all together.