Patient Sign-in Sheets

Protect your patients’ privacy with POS Sign-In Sheets. Available in three formats – Standard, Bilingual or Pediatric Bilingual.

Fields such as Location, Date and Page Number are not found on other sign-in sheets.
Compliant with HIPAA Guidelines.
Allows patients to share new contact information with the front desk.

Packages contain 250 sheets.
Each sheet has 23 patient sign-in lines, numbered, with an adhesive strip label.
After a patient signs in, the receptionist peels the label off and attaches to a patient’s chart or route slip.
After label is removed, no patient information is visible to patients arriving later.
Patient data, preserved on the second page, remains out of sight and can be used to identify “no-show” and/or verify charges were entered for all patients seen on that date and/or at that location.
The Sign-in Sheet asks new patients and those with a new address, phone number or insurance to identify themselves, so staff can gather needed information.

Contact your Regional Territory Manager today to place an order.