Blue Summit Supplies 25 Patient Sign In Forms, Carbonless 3 Part Forms with Peel Away Adhesive Labels, HIPAA Compliant for Privacy in Doctor, Medical, Dental Office, Blue, 25 Pack
- Keep your front desk secure while controlling patient flow with these carbonless 3-part patient sign-in forms, featuring a top sheet of peel-away labels, a security cover sheet in the middle, and a tear-away transfer sheet on the bottom
- Maintain HIPAA compliance and keep patient information confidential thanks to the security sheet attached below the sign in sheet, so each patient can sign in safely without seeing information of other patients
- Easily conceal patient information from public view while retaining a daily log of your sign in sheet for reference or audit purposes. Sign in information is instantly imprinted onto the transfer sheet below, yet remains securely blocked from the view of others
- Each line on the signin sheet peels off to become a self-adhesive label sticker, which can be then applied directly to the patient folder, form, or other office records
- Save money on your medical office supplies while retaining impeccable day to day records of patient arrivals and updates to their personal information. With 25 lines per sheet in this 25 pack of forms, you can serve up to 625 patient visits using this bulk pack of sign-in sheets
- Manufacturer: Blue Summit Supplies
- Model Number: BSS-92588-366
- Package Quantity: 1
- Part Number: BSS-92588-366
Protect Patient Information with Confidential HIPAA Compliant Sign In Forms
We all want to know that our personal information is being protected by the professionals we trust most. These HIPAA compliant sign-in forms are designed to conceal private patient information from others, as each line on the form can be peeled away by staff members as patients sign in for their appointments.
- Peel away adhesive labels have a sticky back that can be reapplied to your patient’s medical folders or other office forms
- Information handwritten on the top layer of labels is transferred onto a log sheet below, but concealed by a security sheet that simply reads “Please Use Next Line” when the label above is peeled away
- Log sheet with transferred information can be accessed by tearing away the perforated bottom edge, then retained as a daily log for audits or other reference needs
Welcome Patients to your Doctors Office with a Professional Sign In Form
Make a good impression on patients new and old with a tidy preprinted signin sheet, which also helps you control patient flow and arrivals while creating an activity log of daily patient activity.
Each sheet is intended for daily use and includes boxes for marking:
- Patient name
- Appointment time and arrival time
- Name of the professional to be seen
- If they are a new patient
- If they have changes to their phone, address, or insurance
100% Money Back Guarantee
Shipping Summary:
-
=> Standard International Shipping from the United States to Canada costs CAD 9.99.
-
=> Orders are processed within 1-3 business days (excluding weekends and holidays).
-
=> Once your order ships, you will receive a confirmation email with tracking details.
Shipping Time:
-
=> Standard International Shipping: Estimated 10-15 business days within Canada.
-
=> Shipping times are estimates and may be affected by external factors such as weather, holidays, or customs delays.
-
=> We do not guarantee exact delivery dates, as delays may occur due to the shipping carrier.
Tracking Your Order:
-
=> A tracking number will be provided once your order ships.
-
=> Orders may be shipped from different fulfillment centers worldwide to ensure quality and affordability.
Delivery Conditions:
-
=> Shipments are delivered to most addresses, except P.O. Boxes.
-
=> In certain remote areas, additional delivery charges may apply, or you may need to pick up your package from the nearest service location of our shipping partner.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.ca.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return Policy
-
=> Duration: You have 30 days from receiving your item to initiate a return.
-
=> Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
=> Shipping Costs: Customers are responsible for return shipping costs.
-
=> Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
=> Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
=> Initiating a Return: Contact us at cs@everymarket.ca to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
=> Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
=> Defective Products: Return labels are provided for defective items.
-
=> Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
=> Eligible Products: Returns are only accepted for items in new condition.
Non-returnable Items
-
Certain items are not eligible for return:
-
=> Electronic devices after 30 days (e.g., computers, laptops, Kindles).
-
=> Gift cards, prepaid game cards.
-
=> Perishable goods, live insects, some jewelry, some health and personal care items.
-
=> Customized or personalized products.
-
=> Items with special shipping restrictions.
-
Refund Policy
-
=> Window: Eligible products may be returned within 30 days of delivery for a refund.
-
=> Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
=> Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
-
=> Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue.
-
=> For claims, contact our support team with details of the issue.
Exchange Policy
-
=> For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
For any further inquiries, feel free to contact our customer support team at cs@everymarket.ca
- Keep your front desk secure while controlling patient flow with these carbonless 3-part patient sign-in forms, featuring a top sheet of peel-away labels, a security cover sheet in the middle, and a tear-away transfer sheet on the bottom
- Maintain HIPAA compliance and keep patient information confidential thanks to the security sheet attached below the sign in sheet, so each patient can sign in safely without seeing information of other patients
- Easily conceal patient information from public view while retaining a daily log of your sign in sheet for reference or audit purposes. Sign in information is instantly imprinted onto the transfer sheet below, yet remains securely blocked from the view of others
- Each line on the signin sheet peels off to become a self-adhesive label sticker, which can be then applied directly to the patient folder, form, or other office records
- Save money on your medical office supplies while retaining impeccable day to day records of patient arrivals and updates to their personal information. With 25 lines per sheet in this 25 pack of forms, you can serve up to 625 patient visits using this bulk pack of sign-in sheets
- Manufacturer: Blue Summit Supplies
- Model Number: BSS-92588-366
- Package Quantity: 1
- Part Number: BSS-92588-366
Protect Patient Information with Confidential HIPAA Compliant Sign In Forms
We all want to know that our personal information is being protected by the professionals we trust most. These HIPAA compliant sign-in forms are designed to conceal private patient information from others, as each line on the form can be peeled away by staff members as patients sign in for their appointments.
- Peel away adhesive labels have a sticky back that can be reapplied to your patient’s medical folders or other office forms
- Information handwritten on the top layer of labels is transferred onto a log sheet below, but concealed by a security sheet that simply reads “Please Use Next Line” when the label above is peeled away
- Log sheet with transferred information can be accessed by tearing away the perforated bottom edge, then retained as a daily log for audits or other reference needs
Welcome Patients to your Doctors Office with a Professional Sign In Form
Make a good impression on patients new and old with a tidy preprinted signin sheet, which also helps you control patient flow and arrivals while creating an activity log of daily patient activity.
Each sheet is intended for daily use and includes boxes for marking:
- Patient name
- Appointment time and arrival time
- Name of the professional to be seen
- If they are a new patient
- If they have changes to their phone, address, or insurance
100% Money Back Guarantee
Shipping Summary:
-
=> Standard International Shipping from the United States to Canada costs CAD 9.99.
-
=> Orders are processed within 1-3 business days (excluding weekends and holidays).
-
=> Once your order ships, you will receive a confirmation email with tracking details.
Shipping Time:
-
=> Standard International Shipping: Estimated 10-15 business days within Canada.
-
=> Shipping times are estimates and may be affected by external factors such as weather, holidays, or customs delays.
-
=> We do not guarantee exact delivery dates, as delays may occur due to the shipping carrier.
Tracking Your Order:
-
=> A tracking number will be provided once your order ships.
-
=> Orders may be shipped from different fulfillment centers worldwide to ensure quality and affordability.
Delivery Conditions:
-
=> Shipments are delivered to most addresses, except P.O. Boxes.
-
=> In certain remote areas, additional delivery charges may apply, or you may need to pick up your package from the nearest service location of our shipping partner.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.ca.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return Policy
-
=> Duration: You have 30 days from receiving your item to initiate a return.
-
=> Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
=> Shipping Costs: Customers are responsible for return shipping costs.
-
=> Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
=> Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
=> Initiating a Return: Contact us at cs@everymarket.ca to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
=> Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
=> Defective Products: Return labels are provided for defective items.
-
=> Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
=> Eligible Products: Returns are only accepted for items in new condition.
Non-returnable Items
-
Certain items are not eligible for return:
-
=> Electronic devices after 30 days (e.g., computers, laptops, Kindles).
-
=> Gift cards, prepaid game cards.
-
=> Perishable goods, live insects, some jewelry, some health and personal care items.
-
=> Customized or personalized products.
-
=> Items with special shipping restrictions.
-
Refund Policy
-
=> Window: Eligible products may be returned within 30 days of delivery for a refund.
-
=> Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
=> Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
-
=> Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue.
-
=> For claims, contact our support team with details of the issue.
Exchange Policy
-
=> For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
For any further inquiries, feel free to contact our customer support team at cs@everymarket.ca
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