8-1/2" x 11" Patients Sign in, Side Stubs, 2 pt. Carbonless Form Lot of 250

HIPPA Compliant HIPPA Privacy Rule, Section 164.502 Second Sheet is a complete record of all patients seen that day Option to call patients by name or number Carbonless Pt 1 - Pressure Sensitive EDP Perm Label with 23 face slits, Pt 2 - 17# Self Contained Paper