SIGN-IN SHEETS - CSL-20
The label 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.
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.