Bi-Lingual PATIENT CONFIDENTIALITY SIGN-IN SHEETS
(ENGLISH / SPANISH)
Forma Confidencial de Registro
Free Clipboard with FIRST order
This Version is EXACTLY THE SAME as CSL-20 EXCEPT all headings are printed in both English and Spanish.
This version is a two-part set with part one being label material. The second part is a bond sheet with a sheet of carbon paper in between.
There are slits below each line that allow office staff to remove each entry as the patient signs in. The strip is then attached either to the patient's chart or to the sheet outlining the reason for the patient's visit. All of the information transfers to the second part of the form and becomes a permanent record of patients who have visited that day,
exactly the same as English only CSL-20 version.
Each set contains 20 numbered strips.
Label strips, numbered in two positions. record the patient's registration information. The strip is filled out by the patient and removed from the top page.
The patient retains the small numbered stub and gives the long strip to the receptionist. This allows the health care provider the option of calling in patients by their name OR by their number on the stub receipt.
As the registration progresses, as patients sign in, they cannot view the names above theirs since the entire registration label has been removed from the top page.
The second journal page records each line entry of registration. The label sheet and the journal sheet is glued on both sides to prohibit viewing of the logged information.
This is a SECURE Document
The Special security features are built into the Micro Format Confidential Sign-In Log give both the health care professionals and the patient privacy while transacting the medical information process during office visits.
English/Spanish Version in stock
Ready to Ship