Confidential Patient Sign In Forms – Green, 2-Part Carbonless
Form Size: 8-1/2 x 11"
Color: Green
Type: NCR Carbonless
Stickers per Sheet: 25
Qty Per Pack: 25 Sheets - 625 Visits
Qty Per Case: 250 Sheets - 6250 Visits
Protect patient privacy at the front desk. These 2-part NCR carbonless patient sign in sheets let patients check in without seeing who signed in before them.
Each sheet has 25 numbered, peel-off adhesive labels. The patient signs on the next open line. Their information copies through to a protected record sheet on the back. The staff member then peels off the label and sticks it on the patient's file.
Why practices choose these sign in forms:
Privacy-first design: Once a label is removed, the patient's information stays hidden behind special backing paper. This helps support HIPAA privacy practices.
Built-in daily log: The carbonless copy gives you a record of every patient who checked in that day.
Fast file tracking: Stick the removable label onto a patient folder or chart to keep a visit history.
Call patients by number: Use the label numbers instead of names, so you don't have to say names out loud in the waiting room.
Great value: One pack has25 sheets with 25 labels each, enough for 625 patient visits.
Standard 8-1/2" x 11" size: Fits clipboards and front desk setups.
Ideal for: medical offices, dental offices, chiropractors, physical therapy clinics, urgent care centers, pediatricians, optometrists, and any practice that needs private check-in.
