Protect Patient Information with Confidential HIPAA Compliant Sign In Forms
We all want to know that our personal information is being protected by the professionals we trust most. These HIPAA compliant sign-in forms are designed to conceal private patient information from others, as each line on the form can be peeled away by staff members as patients sign in for their appointments.


Peel away adhesive labels have a sticky back that can be reapplied to your patient’s medical folders or other office forms
Information handwritten on the top layer of labels is transferred onto a log sheet below, but concealed by a security sheet that simply reads “Please Use Next Line” when the label above is peeled away
Log sheet with transferred information can be accessed by tearing away the perforated bottom edge, then retained as a daily log for audits or other reference needs

Welcome Patients to your Doctors Office with a Professional Sign In Form
Make a good impression on patients new and old with a tidy preprinted signin sheet, which also helps you control patient flow and arrivals while creating an activity log of daily patient activity.
Each sheet is intended for daily use and includes boxes for marking:


Patient name
Appointment time and arrival time
Name of the professional to be seen
If they are a new patient
If they have changes to their phone, address, or insurance

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Keep your front desk secure while controlling patient flow with these carbonless 3-part patient sign-in forms, featuring a top sheet of peel-away labels, a security cover sheet in the middle, and a tear-away transfer sheet on the bottom
Maintain HIPAA compliance and keep patient information confidential thanks to the security sheet attached below the sign in sheet, so each patient can sign in safely without seeing information of other patients
Easily conceal patient information from public view while retaining a daily log of your sign in sheet for reference or audit purposes. Sign in information is instantly imprinted onto the transfer sheet below, yet remains securely blocked from the view of others
Each line on the signin sheet peels off to become a self-adhesive label sticker, which can be then applied directly to the patient folder, form, or other office records
Save money on your medical office supplies while retaining impeccable day to day records of patient arrivals and updates to their personal information. With 25 lines per sheet in this 125 pack of forms, you can serve up to 3,125 patient visits using this bulk pack of sign-in sheets