Patient Sign-in Forms with Peel Off Labels
HIPAA Compliant

For Custom Designed Sign-in Forms, click here. 

TRADITIONAL
​Two Part Forms
​Label Sheet and Archive Sheet

TWO PART FORMAT. Multiple colors available.

$28.36 per pack

25 labels per sheet
​125 sheets per pack
​
DELIVERY COSTS
3 packs $14 (minimum order)
4 packs $16
5 packs $18
6 packs $20
8 packs $22
10 packs $24
Call for special pricing on larger quantities. 
Alan. 602.482.1142.

Two part HIPAA Medical Office Sign in Sheets are the industry standard. They have been used by the medical industry for many years.  They have a "record copy" (shows all sign-ins)for your archives.

•  Label Sheet & Record Copy
• 25 labels per sheet.  125 sheets per pack.
• Blue English, Green English, Burgundy English or Blue English/Spanish.

BUY TWO PART FORMS - click here

​NEW
​One Part Forms
​Label Sheet Only - No Archive Sheet

ONE PART FORMAT. Blue only.

$23.00 per pack

30 labels per sheet. Lower Cost and More Yield
125 sheets per pack
​
​DELIVERY COSTS
3 packs $14 (minimum order)
4 packs $16
5 packs $18
6 packs $20
8 packs $22
10 packs $24
​Call for special pricing on larger quantities. 
Alan. 602.482.1142.

One part HIPAA Medical Office Sign in Sheets are our newest product.  We designed them to better, with 30 labels for a significant increase in value and to save trees by not having the second sheet of paper.

• ​Label Sheet only. NO RECORD COPY
• 30 labels per sheet • 125 sheets per pack
• ​Blue English only
  

BUY ONE PART FORMS - CLICK HERE

Each of the 25 or 30 signature lines is a numbered adhesive label strip.  On our two part forms, when the patient signs in, their information is transferred through a carbonless sheet to a "record sheet" on the back of the form. The office attendant then peels off the label from the medical office sign in sheet and attaches it to the patient's file (or somewhere else) to keep a history of his/her visit.  No information is visible to other patients which is what makes these forms HIPAA Compliant. On our one part forms, there is no second sheet for the image to transfer to. 

Watch our video to learn about 1 part forms vs 2 part forms.
​Call Alan at 602.482.1142 with ANY questions.

Our Patient Sign-in System:

• Allows patients to sign in without seeing the information of other patients
• Your order ships same or next business day.  Free UPS ground freight.
• Compare to Tabbies - we provide more labels and a better value. Compare to Quill. We cost less.

"Thank you so much for making our ordering process so fluid.  The web portal is very easy to use and we love having all of our therapy center ship to locations available via a drop-down menu.  The active order and order history buttons allow us to find the status of an order, access tracking information via an integrated link to UPS.com, and print receipts with the click of a few buttons.  The quick re-order function is a very nice as well.  All of these features help our productivity by making the order process as efficient as possible.  Thanks again!"

Jim Heebner
Purchasing Specialist
PT Solutions Physical Therapy

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