Stock Items

Stock HIPPA Compliant Patient Sign-in Sheets

Removable Patient Information Fields

3-Ply Carbonless

Cello-wrapped in 250's

Quantity	250	500	1000	2000	3000	5000	Over 5000
Lot Price	58.50	99.72	169.90	317.85	470.05	779.85	Consult Factory

After a patient signs in, individual information fields can be removed so patient information cannot be viewed by other patients. Once completed, the sheet can be separated to reveal a full sign-in record. Each Line also has a removable number for calling in patients without revealing their names. The generic design of our sign-in sheet is compatible with all types of medical facilities.

Click Here to request a sample.

Blank Integrated Label Forms for Laser Printers

Item # AP2001-1
Sheet Size: 8 1/2" x 11"
Label Size: 3 1/2" x 2"
Paper: White 24 lb. Bond
Label Position: Top or Bottom of Page

  Quantity   Price/1000
   1M-5M       $49.50
   6M-10M      $47.50
   10M-15M     $45.65
(Over 15M - Call for factory pricing)

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<------------3 1/2 " x 2"------------>
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Item # AP2001-2
Sheet Size: 8 1/2" x 11"
Label Size: 3 1/2" x 2 3/4"
Paper: White 24 lb. Bond
Label Position: Side by Side / Top or Bottom of Page

  Quantity   Price/1000
   1M-5M       $49.50
   6M-10M      $47.50
   10M-15M     $45.65
(Over 15M - Call for factory pricing)

                   ^
                   |
                   |
<------------3 1/2 " x 2 3/4"-------->
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		   v