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Patient Sign-In Sheets & Forms, 250/Package

Item Number: 797 0054
Manufacturer Part Number:
$120.09

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Shipping & handling surcharge is applied for curbside delivery service only which provides delivery of your item(s) to the curb outside of your business or the end of a driveway. This service does not include set up or assembly of items or removal of packaging materials. If you would like white glove delivery please contact 1-800-747-3488
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Description
Patient Sign-In Form

Focus on each Individual Patient
Why Physicians Should Be Your Best Referral Source

Features:
  • This Patient Sign-In Form will help keep track of when your patient's sign-in. 
  • Meets the needs of patient privacy expectations. 
  • Patients fill in information line on removable strip.
  • Carbon sheet transfers names to back sheet so other patients do not see the previous patient's information. 
  • 250/package. 
  • Overall Size: 8-1/2'' W x 11'' H

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