Applications

Anyone who has the need for a confidential sign in form that is HIPAA compliant.

Markets

• Doctor's Offices
• Dentist's Offices
• Hospitals
• Labs

Features

• 8 1/2 x 11 - Unit Sets with side stubs
• Carbonless EDP label with CB liner - Pt #2 27# CF ledger
• 23 Horizontal labels that peel off
• Small tag with number, so patient can be called by number, not name
• Printing on liner to direct patient to sign the next line

Benefits

• HIPAA compliant (Refer to HIPAA Privacy Rule, section 164.502)
• Second sheet is a complete record of who was seen that day.
• Opportunity to call patients by name or number.
• 23 labels that peel off to update patients' charts.
• Carbonless.
• Special back printing to prevent show through on liner.

This case study was provided by Ward/Kraft.