https://www.staples-3p.com/s7/is/image/Staples/C5581B67-7390-4CA1-91DC0C08F75DF6F5_sc7
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
$61.29
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)~#|#~C5581B67-7390-4CA1-91DC0C08F75DF6F5_sc7
Highlights
View all details
  • Patient Bilingual Sign-In Label forms to sign in your patients confidentially
  • HIPAA Compliant
  • 125 Sheets Per Package
MADE IN AMERICA

Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)

Item #: 24617599Model #: 074042
Ask a question
$61.29
125/pack

Free Returns

Online. In store. Always free.

Learn More

Sign in to unlock exclusive deals and picks just for you. sign in
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30

Consider this similar product

Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039)~#|#~5FE7E395-509D-4A1E-B1F72B39512AF2AA_sc7
Price is $61.29
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Customers bought together
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)~#|#~86B0C5DB-D89B-4375-A1A9FB754D2434C5_sc7Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)~#|#~C5581B67-7390-4CA1-91DC0C08F75DF6F5_sc7
Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) is Your Product
Price is $61.29
Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 100/Box (ST56675)~#|#~FD6708EB-0D9C-4710-B97EE04BFBA39232_sc7Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 100/Box (ST56675)~#|#~5C934D7B-B3EC-4A1C-AF00C0533240423D_sc7
Price is $11.99, Regular price was $19.99, You save 40%
Avery Easy Peel Inkjet Address Labels, 1" x 2 5/8", Matte White, 750 Labels/Pack (8160)~#|#~833D1EEF-476B-4085-ACDA735F084C4184_sc7Avery Easy Peel Inkjet Address Labels, 1" x 2 5/8", Matte White, 750 Labels/Pack (8160)~#|#~FBA1F442-2516-4F06-A4EF91A51452F0F4_sc7
Price is $14.79
JAM Paper Heavy Duty 2-Pocket Plastic Folders, Yellow, 6/Pack (383HYED)~#|#~sp71001588_sc7JAM Paper Heavy Duty 2-Pocket Plastic Folders, Yellow, 6/Pack (383HYED)~#|#~sp71001587_sc7
Price is $28.89
Price for all 4
$116.96

    • About this product

    Bilingual confidential patient sign-in sheets

    Meet Federal Regulations by limiting access to personal health information with our HIPAA patient compliant sign-in sheets.

    • Patient Bilingual Sign-In Label forms to sign in your patients confidentially
    • HIPAA Compliant
    • 125 Sheets Per Package
    • 25 Lines Per Sheet
    • Blue Forms

    Compare similar items

    Product specifications table
    Attributes Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042) Tabbies Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532) Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531) Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530) ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
    Your product
    Cosco Patient Bilingual Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074042)
    Price is $61.29
    Tabbies Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532)~#|#~D2DA0782-B902-4538-99076EEAC632DAD9_sc7
    Price is $67.79
    Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531)~#|#~sp42125392_sc7
    Price is $73.89
    Tabbies Patient Privacy Sign-In Sheets, 2-Part, 125/Pack (TAB14530)~#|#~sp45442229_sc7
    Price is $133.79
    ComplyRight HIPAA Patient Consent and Authorization Form (A1350)~#|#~s0456533_sc7
    Price is $54.19
    Reviews
    5
    4
    4
    4
    5
    7
    4.62
    13
    No reviews yet
    Delivery Information
    Free delivery by Fri, May 22
    Free Next-Day eligible by tomorrow
    Free Next-Day eligible by tomorrow
    Free delivery by Thu, May 14
    Free delivery by Thu, May 21
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Type
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Privacy Sign-In Sheets
    Consent
    Pack Qty
    125
    1
    125
    125
    200
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Medical Form Pack Size
    125
    125
    125
    125
    200
    Form Size
    8.5" x 11.625"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11.63"
    8 1 / 2" x 11"
    Length in Inches
    11.625
    11
    11
    11
    11
    True Color
    Blue
    White
    Blue
    Salmon
    White
    Number of Parts
    3
    3
    1
    2
    1
    Print Type
    Digital
    Inkjet / Laser
    Inkjet / Laser
    Inkjet / Laser
    Inkjet / Laser
    Series or Collection
    Confidential Sign-In Forms
    Data not available
    Data not available
    Data not available
    HIPAA Patient Consent and Authorization Form
    Price Per Unit
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    featuredProductsCarouselImage
    featuredProductsCarouselImage