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Form type: Clinical
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Format: Sign-in sheet
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Binding type: Loose
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Design: Blue Eye Chart
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Number of parts: 2, # up per sheet/page: 1
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Carbonless
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Provides the level of privacy that patients expect
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Sheets provided for patient name, arrival time, appointment time, doctor or dept, indicate yes or not for any changes to information and numbering system if office chooses to use
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Patient signs on removable strips that have adhesive backs for attaching to patient charts to improve record keeping
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Once sheet is full perforated snap-set provides a confidential record of the daily patient log
| Brand : Medical Arts Press | Chart and Form Type : Appointment Form | Color Family : White | Customizable : No |
| Height in Inches : 11″ | Number of Pages : 125 | Series or Collection : Eye Care | Speciality Use : Ophthalmology |
| True Color : White/Blue | Used For : Sign-In Sheets | Width in Inches : 8.5″ | |
| Weight : 5.25 lbs. per Pack |



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