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Generic Privacy Sign-In
Privacy Patient Sign-In
 
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List Price: $105.00
Your Price: $66.95
You Save $38.05!
Unit Qty: 125
Unit: pack
Overall Dimensions: 8-1/2" W x 11"


Product Code: W-GN-14037

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Shipping Charge*:
Order 1 - 2 Boxes or Packs Shipping Cost is $19.95
Order 3 or More Boxes or Packs Shipping is FREE!

Qty:  
Description Freight, Returns & Sales Tax Policies
 
Confidential Sign-In Sheets now have 27 sign in positions!
Columns
1) Number
2) Please Print Name
3) Appointment With'
4) Arrival Time
5) Appt. Time



Are you getting the best value for your Confidential Sign-In Sheets?


Most sign-in sheets have 20, 23 or 25 sign-in positions.
With ACS you get 27 sign-in positions per sheet which equals 250 more sign-ins per pack of 125.
  • 20 positions / 125 sheet pack = 2,500 sign-ins
  • 23 positions 125 sheet pack = 2,875 sign-ins
  • 25 positions / 125 sheet pack = 3,125 sign-ins
  • 27 positions / ACS Sign-in 125 sheet pack = 3,375 sign-ins.
More value for your Dollar.



Colors & Features
  • How to use this form:
    • The 27 signature lines are a peel off adhesive label.
    • The Signature labels are numbered 1-27.
    • Visitor signs in on the next available signature line
    • Their information is transferred through a carbonless sheet to a visitor log sheet on the back of the form.
    • If you use the number to call the visitor, instruct the visitor after signing to remove the number from the left-hand column next to their signature line.
    • The receptionist then may peel off the precut signature line of visitor information.
    • The visitor information is not visible to other visitors at this point. The security cover sheet (part 2 of the form) says "Please Use Next Line".
    • After completing an entire sheet or at the end of each day, separate the sheet by breaking the snap-set at the top and bottom perforations. Discard the top two sheets, you now have a complete, private list of all patients and their information. You can use these complete lists for reporting, daily audits or office records.


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