Dental Health 2018 Catalog

PATIENT PRIVACY SIGN -IN FORMS

HIPAA Peel-able Privacy Sign-In Sheets Removable labels for added security. Meet the needs of your patient’s privacy expectations. Patients fill in information line on the remov- able strip, the carbon sheet transfers that information to the back sheet so other patients don’t see the previous person’s information. 8-1/2” x 11”.

FORMS

Pink

Blue

Green

790-14037

790-18228

790-18229

250/box…… $76.75

250/box…… $76.75

250/box…… $76.75

Smile Sign-In

Toothbrush Graphic Sign-In

790-17008

790-17014

100/box…… $67.45

100/box…… $67.45

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