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JUXIN PAPER INDUSTRIAL LIMITED

  • China,Shenzhen
  • Verified Supplier
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China HIPAA-Compliant 3 Part Carbonless Patient Sign-in Form with Peel-off Labels
China HIPAA-Compliant 3 Part Carbonless Patient Sign-in Form with Peel-off Labels

  1. China HIPAA-Compliant 3 Part Carbonless Patient Sign-in Form with Peel-off Labels
  2. China HIPAA-Compliant 3 Part Carbonless Patient Sign-in Form with Peel-off Labels
  3. China HIPAA-Compliant 3 Part Carbonless Patient Sign-in Form with Peel-off Labels
  4. China HIPAA-Compliant 3 Part Carbonless Patient Sign-in Form with Peel-off Labels
  5. China HIPAA-Compliant 3 Part Carbonless Patient Sign-in Form with Peel-off Labels
  6. China HIPAA-Compliant 3 Part Carbonless Patient Sign-in Form with Peel-off Labels

HIPAA-Compliant 3 Part Carbonless Patient Sign-in Form with Peel-off Labels

  1. MOQ: 5000 sets
  2. Price:
  3. Get Latest Price
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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  1. Product Details
  2. Company Details

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
  • Custom requests acceptable (size, color, plies, paper weight, logo, printing - max 8 colors)


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

Bronze Gleitlager

,

Bronze Sleeve Bushings

 and 

Graphite Plugged Bushings

 from Quality China Factory
  • 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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  • JUXIN PAPER INDUSTRIAL LIMITED
  • 237, Zhangbei Road, Ailian, Longgang District, Shenzhen, China
  • https://www.juxinpaper.com/

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