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18228 Patient Sign In Form
18228   Patient Sign In Form
 

Product Code: 18228


Sign In Removable Lbl*:



  
Description
 
Meet the needs of patient privacy expectations. Patients fill in information line on removable strip. Carbon sheet transfers names to back sheet so other patients do not see the previous patient's information. Light Blue.
 
Overall size 8-1/2" W x 11" H.
250 forms per package.

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