• #688640
  • 248
  • Wilmer #W-PSGN
Healthcare Form Healthcare Select™ Patient Sign-In Sheet 8-1/2 X 11 Inch

Features
  • Each patient prints his/her name, appt/arrival time and “Name of Healthcare Professional%XE2%X80? on a numbered line
  • Once the label has been removed, the information is protected behind part one, available only for office use
  • More …
Color
Blue Burgundy White
Type
Dental Claim Form One Part Laser Patient Sign-In Sheet
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Product Specifications


McKesson #688640
Manufacturer #W-PSGN
BrandHealthcare Select™
ManufacturerWilmer
Country of OriginUnited States
ApplicationHealthcare Form
ColorBlue
Dimensions8-1/2 X 11 Inch
MaterialPaper
TypePatient Sign-In Sheet
UNSPSC Code42142304
Features
  • Each patient prints his/her name, appt/arrival time and “Name of Healthcare Professional%XE2%X80? on a numbered line
  • Once the label has been removed, the information is protected behind part one, available only for office use