| Payment Terms | T/T |
| Supply Ability | 10 million sets per month |
| Delivery Time | 15 days after order confirmation |
| Packaging Details | 125 sets per pad, 4 pad per carton |
| Model Number | CPP33010 |
| Place of Origin | China |
| Brand Name | GELAXIN |
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Product Specification
| Payment Terms | T/T | Supply Ability | 10 million sets per month |
| Delivery Time | 15 days after order confirmation | Packaging Details | 125 sets per pad, 4 pad per carton |
| Model Number | CPP33010 | Place of Origin | China |
| Brand Name | GELAXIN | ||
| High Light | 3 ply NCR carbonless form ,pre printed patient copy form ,carbonless form book with warranty | ||
| Size: | 8.5x11" |
| GSM: | 60g |
| Print: | 3 colors (Max 8 colors) |
| Page: | 3 sheets per set |
| Trade: | OEM, ODM, Trade, Wholesale, Reginal Agency |
The 3 part Patient Sign-in Form from Juxin Paper is designed for full compliance with HIPAA regulations, each sheet features a peel-away label top layer, a middle privacy shield, and a bottom sheet that records sign-in data, these sign in sheets maintain confidentiality and ensure patient privacy in medical, dental, and other healthcare offices.
The 3 part patient sign-in form is customized for American healthcare scenarios, containing all mandatory local data columns: Patient Name, Appointment Time, Arrival Time, Appoint With, New Patient / Address Change / Insurance Change, to standardize front desk inquiry processes. There are 25 flag labels on the 1st sheet. When patient signed in, the receptionist may peel off the flag label while the 2nd and 3rd sheet are sealed by glue strip to prevent private information exposure to other waiting patients, complying with US HIPAA privacy requirements for public waiting areas. At the top and bottom, there are perforated tear-free lines for easy separation of the sheets.
It is the basic legal document to log every patient’s arrival at clinics, dental offices, pediatric centers and medical spas. Staff can track appointment times, arrival status and visitor volume for daily management. The 3rd sheet is a private list of all patients log information which can be kept for reporting, daily audits or office records.
Juxin Paper has been a printing expert for 20 years already. Contact Juxin Printing today at howardchen@juxin-paper.com for pricing or free samples!
Company Details
Business Type:
Manufacturer,Exporter
Year Established:
20
Total Annual:
6 million US Dollars-8 million US Dollars
Employee Number:
80~100
Ecer Certification:
Verified Supplier
Juxin Paper Industrial Limited is a leading manufacturer of thermal paper receipt rolls, self-adhesive labels, NCR carbonless forms, theme park tickets and cinema tickets. Founded in 2007, Juxin Paper Industrial Limited covers an area of 6,000 square meters factory in Shenzhen, China. At present, we... Juxin Paper Industrial Limited is a leading manufacturer of thermal paper receipt rolls, self-adhesive labels, NCR carbonless forms, theme park tickets and cinema tickets. Founded in 2007, Juxin Paper Industrial Limited covers an area of 6,000 square meters factory in Shenzhen, China. At present, we...
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