HIPAA CONFIDENTIAL PATIENT SIGN-IN SYSTEMS

HIPAA Information

HIPAA Sign-in Systems

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At patient sign-in

HIPAA sign-in sheets

now you see it...

HIPAA sign-in sheets

now you don't...

Make one HIPAA privacy worry

Here's a simple answer to
patient confidentiality at sign-in.

Patients no longer see the previous patients' names when signing-in.hippa sign-in form  Office personnel have the option to refer to patients by number rather than by name.

When the patient signs in, the information is transferred via carbonless paper to a master log sheet for office use. The patient takes the sign-in slip.

The patient's confidential information is concealed behind the carbonless paper. The log also tracks the number on the patient's slip. When the patient is called, the attendant reads the log and calls the patient by the slip's number.  More Info on HIPAA Sign-in Systems

patient sign-in sheets

Confidential Patient
Sign-In System (HIP01)
Only $49.95/package
Enough for 1000 Patients
Each package contains 40 sets
Each set has 25 slips so one package will be sufficient for 1,000 patients.
The pegboard binders are reusable and are designed specifically for use with our patient sign-in systems.

Description

Sets/Pack

Price/Pac

Secure Order

Confidential Patient
Sign-In System (HIP01)
(without binder)

40 sets
for 1,000 patients

$49.95


Quantity:
 

Binder

1 Binder

$75.00


Quantity:
 

 

HIPAA CONFIDENTIAL PATIENT SIGN-IN SHEETS
WITH ADHESIVE PEEL-OFF STRIPS (HIP02)

Each patient prints his/her name, appt/arrival time and "Name of Healthcare Professional" on a numbered line. Once the label has been removed, the information is protected behind part one, available only for office use.

The front deskattendant calls each patient by number or name

Each package contains 125 forms, numbered 1-25, or enough forms to see 3,125 patients.

Description

Quantity/Case

Price/Case

Secure Order

Confidential Sign In Log
with Adhesive Peel-Off Strips

125

$49.95


Quantity:
 

 

HIPAA CONFIDENTIAL PATIENT SIGN-IN SHEETS
GENERIC (HIP03)

Confidential Sign In Log, 2-part snap set with carbon, part one is label material with 20 horizontal slits to peel off each line to put in patient Chart.  Everything images through to second part for complete record of all patients who have visited on that day.

Description

Quantity/Case

Price/Case

Secure Order

Confidential Sign In Log
Generic

200

$76.00


Quantity:
 

ALL OUR FORMS ARE OF THE HIGHEST QUALITY,  ARE PRINTED IN STRICT COMPLIANCE  WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY CENTERS FOR MEDICARE AND MEDICAID SERVICES AND THE INSURANCE INDUSTRY.
OUR FORMS HAVE BEEN APPROVED BY THE GOVERNMENT.
The American HCFA Forms division of DFL Enterprises, Inc. is an independent supplier of US Government
approved claim forms and NOT an affiliate of CMS (
www.cms.gov)

WE ACCEPT VISA, MASTERCARD and AMERICAN EXPRESS
 

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IF YOU HAVE ANY QUESTIONS OR TO ORDER BY PHONE
CONTACT US TOLL FREE AT:
 1-877-840-1500
FAX: 1-985-809-5788
Our Office Hours are:
  Monday - Thursday:  8am - 5pm CST
Friday:  8am - 12 noon CST

EMAIL US

AMERICAN HCFA FORMS is a Division of

124 Pine Oak Dr., Covington, LA  70433
PHONE:  985-875-0800
FAX: 1-985-809-5788

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