Login       My Wishlist
  My Cart
$0.00 / 0 items
 
Sure Directory
Find Out What Business Directories Can Do For You
 
International Access
Global Shipping Options Available
  Our Catalog   Office & School Supplies   Forms, Recordkeeping & Money Handling   Human Resources Forms

Confidential Patients Sign In Sheets, 8-1/2" X 11" (Blue) Bilingual - Carbonless Form (Lot of 125 Sheets) HIPAA Compliant.


Confidential Patients Sign In Sheets, 8-1/2'' X 11'' (Blue) Bilingual - Carbonless Form (Lot of 125 Sheets) HIPAA Compliant. by Jaxplaza at Sure Directory. MPN: HIPAASIGNINWPSGNBIL. Hurry! Limited time offer. Offer valid only while supplies last. Bilingual Sign-In Sheet. In English and Spanish. With one simple system, you're making one HIPAA privacy worry disappear. Meet the privacy and


Product Description

Bilingual Sign-In Sheet. In English and Spanish. With one simple system, you're making one HIPAA privacy worry disappear. Meet the privacy and confidentiality requirements of HIPAA with these two-part carbon-less sign-in sheets. It allows patients to sign in without seeing the information of other patients. After patients sign in, labels peel off top of form, showing no protected information!

Features & Highlights

  • English and Spanish (Bilingual). 125 sheets accommodates 3,125 patient visits
  • Meet the privacy and confidentiality requirements of HIPAA
  • Two-part carbonless sign-in sheets
  • Allows patients to sign in without seeing the information of other patients
  • After patients sign in, labels peel off top of form, showing no protected information imprinted on the bottom of the form for staff use

Additional Information

Manufacturer:Jaxplaza
Brand:Jaxplaza
Color:BLUE
Part Number:HIPAASIGNINWPSGNBIL
Publisher:Jaxplaza
Studio:Jaxplaza
MPN:HIPAASIGNINWPSGNBIL
UPC:061684125168
EAN:0061684125168

Confidential Patients Sign In Sheets, 8-1/2'' X 11'' (Blue) Bilingual - Carbonless Form (Lot of 125 Sheets) HIPAA Compliant. by Jaxplaza

Buy Now:
Confidential Patients Sign In Sheets, 8-1/2" X 11" (Blue) Bilingual - Carbonless Form (Lot of 125 Sheets) HIPAA Compliant.

Brand: Jaxplaza
Condition: New
Lead Time: 1 - 2 Business Days
Availability: In Stock
$69.99


Quantity:  

 


View More In Human Resources Forms.

 


Have questions about this item, or would like to inquire about a custom or bulk order?


If you have any questions about this product by Jaxplaza, contact us by completing and submitting the form below. If you are looking for a specif part number, please include it with your message.

First Name:
Last Last:
Email Address:
Your Message:

Related Best Sellers


By Wesco
mpn: 3882, ean: 0609015485576,
CMS 1500 - HCFA Window Envelopes for Claim Forms (No. 10-1/2) 4-1/2" x 9-1/2", White with Inside Security Tint - 50 ENVELOPESCMS 1500 - HCFA Window Envelopes for Claim Forms. Size: No. 10-1/2, 4.5 x 9.5 inches. White with Inside Security Tint. Moiste...

By Salemax
mpn: CMS1500hw-10,
Carbonless bond paper are printed in OCR-scannable red ink. All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.2 Part Hand Written (10 Single Sheets) Sample Pack. For Hand Written Claim...

By A Plus
mpn: 8250-2017,
Spanish Buyers Guides for automotive dealerships/car lots. Fill out information and remove the adhesive tape backing strip to expose the adhesive to apply the form on the inside of the car window.Size: 7 3/8" x 11". Quantity: 100. 2 Part NCR (no carb...

By AMZfiling
mpn: 27011, ean: 0041898207614,
Collect dental health history information from your patients. Comes with 2 pre-punched holes for easy filing.Detailed medical and dental condition questions, previous dental treatments and more. Unique color coded design makes it easy to find the rig...

By Adams
mpn: 65658,
Adams Employee Personnel File Folder...

By The Filing Supplies Shop
mpn: UB041,
UB-04 Hospital Claim Form 1-Part Continuous (2,500/case) Printed in OCR red "dropout" ink; 20# Environmental Paper Alliance (EPA) Recycled Paper (White); 2,500/case...

By Compuchecks
mpn: 6504,
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. These preprinted and cut size forms speed up claims processing. New Version 02/12: Medicare...

By Linco
mpn: HCFACS3500, ean: 0605608567780,
NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 7 REAMS (3500 SHEETS/FORMS)1-Part Laser Form CMS-1500 printed in red ink - Quantity: 3500 Forms. New Version 02/12 (APPROVED OMB-0938-1197). Medicare Accepts Only This Version 02/12 Beginning...

By Tops
mpn: 59870R, ean: 0640206360197,
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.Printed to Government Printing Office...

By ComplyRight
mpn: CMS12LC1,
Satisfy recordkeeping requirements with cms-1500 Health insurance claim forms. Per Federal regulations, all healthcare providers must use the cms-1500 form for specific types of billing. The cms-1500 accommodates reporting of the National provider id...



Privacy Policy / Terms of Service
© 2018 - suredirectory.com. All Rights Reserved.