Confidential Patient Sign-In Forms - Blue
Item # YPDWG-OTSOA
8-1/2"x11-3/4" Blue Patient Sign-In Form w/ 5/8" stub at the top. 3-part sign-in label from system. HIPAA compliant. 125 per package. 25 lines per form allows you to see 3,125 patients per package. Complies with Prop 65. 8 ½" W x 11 ¾" H
| Quantity: | 125 | 250 | 500 | 1,000 | 2,500 | 5,000 |
|---|---|---|---|---|---|---|
| Your Price (each): | $0.4572 | $0.4191 | $0.3715 | $0.3588 | $0.3226 | $0.3102 |
Additional charges may apply.
Blue
Office, Hospital
1 color, 1 side
Production Time: Approximately 15 working days
Packaging: Polywrap protected
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56003 (Minnesota, United States)