Med-Pass® Confidential Sign-In Sheets

Item # 174-38273
• Form Type: Clinical • Format: Sign In Sheet • Sheet Size: 8-1/2" x 11"
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$7.49
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  • For Use with Log Holder, Item #38275
Designed for use with Confidential Patient Sign-in Log Holder 38275. Asks patients for arrival time, appointment time, name, check if new patient, any change in address, phone or insurance coverage. 50 sheets per pad/21 sign-in lines per sheet. Can also be used without log holder for practices not using a confidential sign-in process.

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