Patient Check In Sheet
Use of this HIPAA Check-In Sheet can help with:
- Protecting your patients privacy and your staff of any HIPAA violations
- Welcoming your patients to your office and remind them to notify staff of any insurance, address or phone number changes
- Avoiding any question of fraud from Insurance companies by maintaining a master log of all patients seen by your office
- Improved record keeping by attaching the signed removable adhesive strip to the patients chart
- Being eco-friendly as this form has a unique 2 ply design – eliminating the middle sheet that needs to be disposed on the 3 ply Sign- In Sheets.
- 8-1/2 x 11-5/8” including top and bottom stubs
- 2 part carbonless forms
- Ply 1 - White Semi-Gloss label, printed in PMS 3005 Blue and Black
- Ply 2 - White CF 20 #, printed in black on the face and back (back has instructions for use).
- Sheets have 20 lines per form 125 forms per box – 5 lbs. per box