Patient Sign-in Label Sheets

As required by the Health Insurance Portability and accountability Act (HIPAA) law, healthcare providers are expected to develop policies and procedures that will limit access to personal health information without sacrificing the quality of healthcare.

We offer both English Only or Bilingual (English and Spanish) versions.

Each patient prints his/her name, appt/arrival time and “Name of Healthcare Professional” on a numbered line. Each form is numbered 1 through 25. If using the optional numbered label, patient takes the number. The office staff removes the signed name label and either adds to the patient file or to a workflow tracking system.  Once the label hs been removed, the information is protected behind part one, available only for office use.

The English Only version is available in Green, Blue or Burgundy.

The bilingual (English and Spanish) version is available in Blue.

These usually ship on the same day or day after the order is placed.