Skip to main content

Blue Summit Supplies 25 Patient Sign In Forms, Carbonless 3 Part Forms with Peel Away Adhesive Labels, HIPAA Compliant for Privacy in Doctor, Medical, Dental Office, Blue, 25 Pack

  • 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 25 pack of forms, you can serve up to 625 patient visits using this bulk pack of sign-in sheets
Brand: Blue Summit Supplies
Manufacturer: Blue Summit Supplies
Part Number: BSS-92588-366
Material Type: Paper
Product Dimensions: 11.85 x 8.39 x 0.59 inches; 1.1 pounds
Isin: IAXVC3S4TT0V

$37.81

$37.88
0% off
  • Free shipping in US
  • Arrives:

  • Free 30-Day returns

In Stock

Sold by , Fulfilled By IBSPOT
Ships from USA

IBspot Buyer Protection

Shop confidently on IBspot, receive your item as described or your money back for eligible orders. Learn Program Terms

GUARANTEED SAFE CHECKOUT

More seller options

Starting from

Compare all sellers
  • FREE Shipping

    We offer FREE SHIPPING to all domestic orders.

  • EXCELLENT SUPPORT

    We provide 24/7 online customer support via email.

  • MONEY BACK GUARANTEE

    30 days money back guarantee, no additional fee charged.

scroll to top arrow
Blue Summit Supplies 25 Patient Sign In Forms, Carbonless 3 Part Forms with Peel Away Adhesive Labels, HIPAA Compliant for Privacy in Doctor, Medical, Dental Office, Blue, 25 Pack

Blue Summit Supplies 25 Patient Sign In Forms, Carbonless 3 Part Forms with P...

$37.81 $37.88 (0% off)

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

100% Money Back Guarantee

Shipping Summary:

  • Packages are shipped from Monday to Friday.
  • The usual time for processing an order is 1 to 3 business days, but may vary depending on the availability of products ordered. This period excludes delivery times, which depend on your geographic location.
  • We provide tracking for every order. Tracking will be available once your product is shipped. Each individual product may be shipped from different fulfillment centers across the globe as our product research team spends the time to source quality yet affordable products. 

Estimated delivery times:

  • Standard Shipping: 3-7 business days
  • Expedited Shipping: 2-5 business days
  • International Shipping: 10 - 15 business days

Please note that these are estimates, not guarantees. Delivery time depends on a number of variables, and there may be delays such as bad weather affecting air transport, or a package being held for inspection by Customs. ibspot is not liable for any delays in international transportation or customs clearance.

Shipments can be delivered directly to most addresses, except post office boxes. However, in certain remote areas, there may be an additional delivery charge or you may need to pick up your package from the closest service location of ibspot's shipping partner.

Shipping Status: 

As soon as your order ships, you'll receive a shipping confirmation email that includes your tracking number. 

If you don't receive a shipping confirmation email right away, don't worry! We know the delivery date or date range provided at checkout and we'll be sure to deliver the items within that timeframe.

Order changes: 

Please contact our customer support if the order needs to be canceled or modified.

Item not received: 

If you've successfully placed an order and haven't received it yet while the tracking status shows it's delivered. you'd wish to contact the carrier to hunt out your Cover as once the item is Covered we  have control over it (once it’s by the carrier), but if still persists kindly email us 

Damaged Parcel
If your package has been delivered in a PO Box, please note that we are not responsible for any damage that may result (consequences of extreme temperatures, theft, etc.). 

If you have any questions regarding shipping or want to know about the status of an order, please contact us or email to support@ibspot.com.

 

Please Read Our Return & Refund Policy Carefully: 

Return: 

You may return most items within 30 days of delivery for a full refund.

To be eligible for a return, your item must be unused and in the same condition that you received it. It must also be in the original packaging.

Several types of goods are exempt from being returned. Perishable goods such as food, flowers, newspapers or magazines cannot be returned. We also do not accept products that are intimate or sanitary goods, hazardous materials, or flammable liquids or gases.

Additional non-returnable items:

  • Gift cards
  • Downloadable software products
  • Some health and personal care items

To complete your return, we require a tracking number, which shows the items which you already returned to us.
There are certain situations where only partial refunds are granted (if applicable)

  • Book with obvious signs of use
  • CD, DVD, VHS tape, software, video game, cassette tape, or vinyl record that has been opened
  • Any item not in its original condition, is damaged or missing parts for reasons not due to our error
  • Any item that is returned more than 30 days after delivery

Items returned to us as a result of our error will receive a full refund,some returns may be subject to a restocking fee of 7% of the total item price, please contact a customer care team member to see if your return is subject. Returns that arrived on time and were as described are subject to a restocking fee.

Items returned to us that were not the result of our error, including items returned to us due to an invalid or incomplete address, will be refunded the original item price less our standard restocking fees.

You should expect to receive your refund within four weeks of giving your package to the return shipper, however, in many cases you will receive a refund more quickly. This time period includes the transit time for us to receive your return from the shipper (5 to 10 business days), the time it takes us to process your return once we receive it (3 to 5 business days), and the time it takes your bank to process our refund request (5 to 10 business days).

If you need to return an item, please Contact Us with your order number and details about the product you would like to return. We will respond quickly with instructions for how to return items from your order.


Shipping Cost

We'll pay the return shipping costs if the return is a result of our error (you received an incorrect or defective item, etc.). In other cases, you will be responsible for paying for your own shipping costs for returning your item. Shipping costs are non-refundable. If you receive a refund, the cost of return shipping will be deducted from your refund.

Depending on where you live, the time it may take for your exchanged product to reach you, may vary.

If you are shipping an item over $75, you should consider using a trackable shipping service or purchasing shipping insurance. We don’t guarantee that we will receive your returned item.

Refund: 

  • Purchases may be returned within 30 days of the shipping date for a refund. 
  • Refund will be issued to your original form of payment.
  • Refunds for orders purchased with IBSPOT Gift Cards and/or IBSPOT Notes will be issued as a  IBSPOT Gift Card and mailed to the original billing address. Gift cards cannot be redeemed for cash unless  required by law. 

Refund Processing 

• Returns to a IBSPOT store will be refunded to the original form of payment or gift card. • Mail-in returns with our prepaid return label will be refunded back to the original form of payment within 3-5  business days after we receive your return. Please allow 5-7 business days for your return to arrive at our Returns Center. 

• Note: It may take a few days until your bank posts the refund to your account. 

Claims: 

Claims related to the product. Be sure to check the details of your purchase carefully before you make the payment, and  check the contents of the package(s) promptly upon receipt. If you have a problem with the product, visit our Support  Center to find out about return shipping arrangements. 

WHICH CIRCUMSTANCES WE OFFER RETURND & REFUND: 

WRONG PRODUCT: 

If you discover your order is flawed please contact us Mail: support@ibspot.com. With photos of the wrong product we will providing a return shipping label. Once it is tracking we will ship a replacement a product immediately. 

Damages and issues 

Please inspect your order upon reception and contact us immediately if the item is defective,  damaged or if you receive the wrong item, so that we can evaluate the issue and make it right. 

Exceptions / non-returnable items 

Certain types of items cannot be returned, like perishable goods (such as food, flowers, or plants),  custom products (such as special orders or personalized items), and personal care goods (such as  beauty products). We also do not accept returns for hazardous materials, flammable liquids, or  gases. Please get in touch if you have questions or concerns about your specific item. Unfortunately, we cannot accept returns on sale items or gift cards. 

Exchanges 

The fastest way to ensure you get what you want is to return the item you have, and once the return  is accepted, make a separate purchase for the new item. 

Oops!

Sorry, it looks like some products are not available in selected quantity.

OK

Free Delivery

Free shipping in US

Safe Payment

Pay with the world’s most popular and secure payment methods.

24/7 Help Center

Round-the-clock assistance for a smooth shopping experience.

30 Days Return

30 days return policy if you’re not satisfied with products & services

Subscribe To Our Newsletter

Statements on this website have not been evaluated by the Food and Drug Administration. Products are not intended to diagnose, treat, cure or prevent any disease.