ReviewsHipaa Forms

NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Blue)

  • ...erfect solution for patient privacy. This pack of 25 sheets features 25 labels per sheet, accommodating 625 patient visits. The 3-part carbonless sign in sheet provides a top sheet of peel-away labels, a protective cover sheet in the center, and a bottom sheet to which the information is transferred..
  • Compliant with HIPAA (Health Insurance Portability and Accountability Act), these secure sign in forms ensure that each patient can sign in privately and will not see other patients information. Since the labels are removed, the next patient cannot see the information of the previous one.
  • Easily maintain a daily log report for your records or in case of an audit. The sign in information is transferred to the bottom sheet, preventing it from being seen by others. Once the labels are removed and possibly applied to the patients chart or folder, the bottom sheet can be retained as a daily log report or as reference for an audit..
  • Competitively priced, these sign in forms help you save money on your office supplies..
  • Locally produced, our forms are made in the USA by Next Day Labels TM and come with the assurance of your satisfaction..
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Saunders Silver A-Holder Recycled Aluminum Form Holder - Fits 8.5 x 14 inch Legal Size Documents - Ideal for Home, Office, and Business Use (10019)

  • Serrated steel clip with self-locking latch and credit card/ID holder can securely hold up to 100 sheets of 20lb paper.
  • Top-open design with 3/8" storage compartment.
  • light-weight aluminum base provides a sturdy writing surface while on the go or away from a desk.
  • Hinged writing plate keeps sensitive information protected from prying eyes and prevents write-throughs on multi-part forms.
  • use as a part of your HIPAA Compliant privacy program.
  • Made from 89% recycled aluminum with a minimum of 30% post-consumer recycled content.
  • assembled in America from domestic and globally sourced components.
  • Clipboard measures 14 in. x 9 in. x 1 in. (L x W x H) when laid flat on table.
  • can fit documents and forms up to 8. 5 x 14 inches in size.
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Saunders Silver A-Holder Recycled Aluminum Form Holder - Fits 4.75 x 9.5 inch Size Documents - Ideal for Home, Office, and Business Use (10003)

  • Serrated steel clip with self-locking latch and credit card/ID holder can securely hold up to 100 sheets of 20lb paper.
  • Top-open design with 3/8" storage compartment.
  • light-weight aluminum base provides a sturdy writing surface while on the go or away from a desk.
  • Hinged writing plate keeps sensitive information protected from prying eyes and prevents write-throughs on multi-part forms.
  • use as a part of your HIPAA Compliant privacy program.
  • Made from 89% recycled aluminum with a minimum of 30% post-consumer recycled content.
  • assembled in America from domestic and globally sourced components.
  • Clipboard measures 10 in. x 5. 25 in. x 1 in. (L x W x H) when laid flat on table.
  • can fit documents and forms up to 4. 25 x 9. 5 inches in size.
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Saunders Redi-Rite Recycled Aluminum Storage Clipboard - Black - Letter Size 11018

  • High capacity steel clip with self-locking latch and credit card/ID holder can securely hold up to 150 sheets of 20lb paper stay organized so you can....
  • Top-open design with 1 5" internal storage capacity light-weight aluminum base provides a sturdy writing surface while on the go or away from a desk.
  • Storage compartment keeps sensitive information protected from prying eyes use this clipboard to compliment your HIPAA privacy program.
  • Made from 89% recycled aluminum with a minimum of 30% post-consumer recycled content assembled in America from domestic and globally sourced....
  • Clipboard measures 14 25 in x 9 in x 2 75 in (L x W x H) when laid flat on table can fit documents and forms up to 8 5 x 11 inches in size.
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Saunders Recycled Aluminum Redi-Rite Storage Clipboard with Calculator Clip Letter Size 8.5 x 12-Inches 11025

  • High capacity calculator clip with self-locking latch can securely hold up to 150 sheets of 20lb paper.
  • Top-open design with 1. 5" internal storage capacity.
  • light-weight aluminum base provides a sturdy writing surface while on the go or away from a desk.
  • Storage compartment keeps sensitive information protected from prying eyes.
  • use this clipboard to compliment your HIPAA privacy program.
  • Made from 89% recycled aluminum with a minimum of 30% post-consumer recycled content.
  • assembled in America from domestic and globally sourced....
  • Clipboard measures 14. 5 in. x 9 in. x 2. 8 in. (L x W x H) when laid flat on table.
  • can fit documents and forms up to 8. 5 x 11 inches in size.
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CMS 1500 Claim Forms\New\ HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets

  • Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. - 500 Sheets - Made in USA.
  • CMS-1500 (version 02/12) replaces form (version 08/05) - 1-Part Laser Form CMS-1500 Printed in Red Ink.
  • Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). - Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association..
  • New Version 02/12 (APPROVED OMB-0938-1197) - Size 8-1/2" x 11" for Laser and Inkjet Printers - Starting 04/04/14 Medicare will accept this Version 02/12 "ONLY".
  • Forms must adhere to strict printing standards that govern the layout, paper and ink. - 20-lb paper with OCR "dropout" red ink for greater scanning accuracy..
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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.
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Blue Summit Supplies 125 Patient Sign in Sheets, HIPAA Compliant, Peel Off Adhesive Labels Carbonless 3 Part Forms with, for Privacy in Doctor, Medical, Dental Office, Blue, 125 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 125 pack of forms, you can serve up to 3,125 patient visits using this bulk pack of sign-in sheets.
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Blue Summit Supplies 125 Patient Sign in Sheets, Carbonless 3 Part Forms with Peel Away Adhesive Labels, HIPAA Compliant for Privacy in Doctor, Medical, Dental Office, Burgundy, 125 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 125 pack of forms, you can serve up to 3,125 patient visits using this bulk pack of sign-in sheets.
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Saunders 21017 Recycled Aluminum Cruiser Mate Storage Clipboard – Lightweight, Heavy Duty, Dual Storage Paper Holder. Storage Clipboard, Silver

  • High capacity steel clip with self-locking latch and credit card/ID holder can securely hold up to 150 sheets of 20lb paper.
  • Top-open dual tray design with 1. 5" internal storage capacity.
  • light-weight aluminum base provides a sturdy writing surface while on the go or away from a desk.
  • Storage compartment keeps sensitive information protected from prying eyes.
  • use this clipboard to compliment your HIPAA privacy program.
  • Made from 89% recycled aluminum with a minimum of 30% post-consumer recycled content.
  • assembled in America from domestic and globally sourced components.
  • Clipboard measures 14 in. x 9 in. x 2. 75 in. (L x W x H) when laid flat on table.
  • can fit documents and forms up to 8. 5 x 11 inches in size.
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Saunders Metal Clipboard with Storage, Legal Size Heavy Duty Contractor Grade Clipboard, Recycled Aluminum Dual Storage Form Holder with High Capacity Clip, Assembled in USA, Black Cruiser-Mate

  • High capacity steel clip with self-locking latch and credit card/ID holder can securely hold up to 150 sheets of 20lb paper stay organized so you can get work done.
  • Top-open dual tray design with 1.5" internal storage capacity light-weight aluminum base provides a sturdy writing surface while on the go or away from a desk.
  • Storage compartment keeps sensitive information protected from prying eyes use this clipboard to compliment your HIPAA privacy program.
  • Made from 89% recycled aluminum with a minimum of 30% post-consumer recycled content assembled in America from domestic and globally sourced components.
  • Clipboard measures 14 in x 9 in x 2 75 in (L x W x H) when laid flat on table can fit documents and forms up to 8 5 x 11 inches in size.
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