Now carrying more than 1,000 Staples® brand products!
Select a practice type
  • Select a practice type
  • Medical
  • Dental
  • Chiropractic
  • Eye Care
  • Podiatry
  • Veterinary & Pet Care
  • Other
Spend only more, to get Free Delivery *
0
Items
$0.00
Checkout
Need Help? 800-328-2179 or Live Help

Item # 174-24121


$33.50
per Pack
When you buy 8+
Buy more, save more!
$42.00
Buy 2$40.00
Buy 4$36.00
Buy 8+$33.50
100% of respondents would recommend this
Delivery time for
Your delivery dates will be verified at checkout

Privacy Sign-in sheets that provide the level of privacy that patients expect. Sheets provided for patient name, arrival time, appointment time, doctor or dept, indicate yes or not for any changes to information and numbering system if office chooses to use Patient signs on removable strips that have adhesive backs for attaching to patient charts to improve record keeping Once sheets are full perforated snap-set provides a confidential record of the daily patient log 20 lines per form, 125 forms per package, size: 8-1/2 x 11"

Product Information
Form Type :
Clinical
Format :
Sign In Sheet
Sheet Size :
8-1/2" x 11"
Lines :
20
Form Size :
8-1/2" x 11"
Media Quantity :
125
Binding Type :
Loose
Paper Color :
White
Number of Parts :
2
Carbonless :
Yes
# Up Per Sheet/Page :
1
NCR Paper :
No
Numbered :
No
Holes Punched :
None
Personalization :
No
Security Features :
Yes
Miscellaneous
Brand Name :
Medical Arts Press
Country of Origin :
USA
Weight
Weight :
4.00 lbs. per Pack

REVIEW SNAPSHOT®

by PowerReviews
Medical Arts Press® Privacy Sign-In Sheet; Green
 
4.6

(based on 7 reviews)

100%

of respondents would recommend this to a friend.

Pros

  • Includes necessary fields (6)
  • Adequate writing space (5)
  • Prevents write-through (5)
  • Professional design (5)
  • Organized layout (4)

Cons

    Best Uses

    • Professional work (4)
      • Reviewer Profile:
      • Quality oriented (4), Budget shopper (3)
      • Primary use:
      • Business (7)

    REVIEWS

    Reviewed by 7 customers

    Sort by

    Displaying reviews 1-7

    Back to top

     
    5.0

    We continue to use this product

    By Sammi the secretary

    from Lima, Ohio

    About Me Quality Oriented

    Verified Buyer

    Pros

    • Adequate Writing Space
    • Includes Necessary Fields
    • Organized Layout
    • Prevents Write-Through
    • Professional Design

    Cons

      Best Uses

      • Professional Work

      Comments about Medical Arts Press® Privacy Sign-In Sheet; Green:

      This product is used in a community behavioral health agency and provides the way to allow clients to sign in with the agency meeting HIPAA regulations.

      • Primary use:
      • Business
       
      4.0

      a must have for the office

      By bolton1

      from Saltillo, MS

      About Me Value Oriented

      Verified Buyer

      Pros

      • Adequate Writing Space
      • Includes Necessary Fields
      • Organized Layout
      • Prevents Write-Through
      • Professional Design

      Cons

      • "next line" not obvious

      Best Uses

        Comments about Medical Arts Press® Privacy Sign-In Sheet; Green:

        needs more obvious "next line"- my patients keep trying to write on one of the used lines and think the pens don't work!

        • Primary use:
        • Business
         
        5.0

        Sign-Ins Welcome!

        By Nefterina

        from Ft. Lauderdale, Florida

        About Me Quality Oriented

        Verified Buyer

        Pros

        • Adequate Writing Space
        • Includes Necessary Fields
        • Organized Layout
        • Prevents Write-Through
        • Professional Design

        Cons

          Best Uses

          • Professional Work

          Comments about Medical Arts Press® Privacy Sign-In Sheet; Green:

          We use this product in a doctor's office. These sign-in sheets are great because they keep every patient's information private. They are HIPAA compliant as well. It also allows us to keep excellent records of all patients that signed in for the day.

          • Primary use:
          • Business
           
          3.0

          It is ok

          By Vivian

          from Conyers GA

          About Me Value Oriented

          Pros

          • Adequate Writing Space
          • Includes Necessary Fields
          • Prevents Write-Through
          • Professional Design

          Cons

          • Not easy for patient use

          Best Uses

          • Internal Use

          Comments about Medical Arts Press® Privacy Sign-In Sheet; Green:

          It needs to be easier for patients to identify line to sign in on

          • Primary use:
          • Business
           
          5.0

          Patient Privacy

          By Billing Manager

          from Clarkston, MI

          About Me Quality Oriented

          Pros

            Cons

              Best Uses

                Comments about Medical Arts Press® Privacy Sign-In Sheet; Green:

                Perfect privacy sign-in sheets. I just wish that the patients would read them, update insurance info, and sign on the right line!

                • Primary use:
                • Business
                 
                5.0

                I will continue to purchase this product

                By That Girl!

                from San Diego

                About Me Quality Oriented

                Pros

                • Includes Necessary Fields

                Cons

                  Best Uses

                  • Professional Work

                  Comments about Medical Arts Press® Privacy Sign-In Sheet; Green:

                  This is a product that we use at both our pediatric sites, it's a no brainer!

                  • Primary use:
                  • Business
                   
                  5.0

                  Easy to use Can't get any better

                  By Kris

                  from Clinton Township, Michigan

                  About Me Value Oriented

                  Verified Buyer

                  Pros

                  • Adequate Writing Space
                  • Includes Necessary Fields
                  • Organized Layout
                  • Prevents Write-Through
                  • Professional Design

                  Cons

                    Best Uses

                    • Professional Work

                    Comments about Medical Arts Press® Privacy Sign-In Sheet; Green:

                    Easy to use....better than having patients sign the encounter!!!

                    • Primary use:
                    • Business

                    Displaying reviews 1-7

                    Back to top

                    Description Price Unit Take Action
                    Welcome Privacy Sign with Acrylic Base
                    Welcome Privacy Sign with Acrylic Base

                    174-31898

                    $15.79
                    When you buy 3+
                    Each
                    Buy
                    Privacy Message Signs; Numbered Sticker
                    Privacy Message Signs; Numbered Sticker

                    174-20779

                    $15.79
                    When you buy 2+
                    Each
                    Buy
                    Description Price Unit Take Action
                    Huge selection on filing supplies, forms and labels
                    Additional Items
                    Welcome Privacy Sign with Acrylic Base

                    $15.79
                    When you
                    buy 3+

                    Each Buy
                    Privacy Message Signs; Numbered Sticker

                    $15.79
                    When you
                    buy 2+

                    Each Buy
                    See All Products
                    Back to top
                    My Account
                    Order history / Tracking
                    Software Downloads
                    Item usage Report
                    Make a return
                    Invoice View
                    Account Balance
                    Message Center
                    Help
                    Specials
                    New
                    On Sale
                    Clearance
                    Rebate
                    Free Samples
                    Request a Catalog
                    E-mail Sign Up
                    Featured Categories
                    Staples® Brand Products
                    State RX Forms
                    HIPAA Center
                    Pulse of Your Practice
                    Furniture Specialists
                    Green Center
                    Pink Products
                    Practice Essentials - Blog
                    Just for Kids
                    Site Map
                    About Medical Arts Press
                    Medical Arts Press History
                    Pricing Policy
                    Privacy & Security
                    Order Restrictions
                    Online Tools
                    Catalog Quick Order
                    My Lists
                    Rapid Reorder
                    Recreate an Order
                    Ink & Toner Finder
                    Shredder Finder
                    Printer Finder
                    Paper Finder
                    Filing Finder
                    Software Demo
                    Live Chat
                    Visit us at
                    Facebook
                    Twitter
                    RSS

                    ©2012 Medical Arts Press® All rights reserved. Questions? E-mail or call us toll-free, 1-800-328-2179.

                    Click to verify BBB accreditation and to see a BBB report

                    loading Loading...