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Ten Regional Warehouses for Nationwide Delivery
(No Alaska or Hawaii)

Coldwater, Ohio
Tulare, California
Lithia Springs, Georgia
Miami, Florida
Philadelphia, Pennsylvania
Roselle, IL
Reno, NV
Charlotte, NC
Benton, AR
Minneapolis, MN

 

 
Toll-Free 800-869-6590
 
Health Forms and Systems, Inc.

Health Forms and Systems, Inc.
Nations Leading Supplier of
Medical Forms and Filing Supplies

Nationwide Delivery
(Not in Alaska, Hawaii, or Puerto Rico)
Approximately 2-3 business Days

NEW LOWER PRICING OF CMS1500 FORMS

$9.90 per M(2500 Case)
$24.75 Case
Laser Single Sheets

Call Customer Service for Volume Shipping Discounts!

15+ Boxes
50% Off Shipping
on CMS Forms

NEW CMS 1500 SOFTWARE
  • Free Trial
  • Free Support
  • Free Updates
  • Free Electronic Setup

Click Here

Free Shipping On Filing Supplies
$20.00 Minimum Order

HIPAA Patient Sign-in Sheets

With one simple system, you're making one HIPAA privacy worry disapper.

Meet the privacy and confidentiality requirements of HIPAA with these two-part carbonless sign-in sheets. It allows patients to sign in without seeing the information of other patients. After patients sign in, labels peel off top of form, showing no protected information!
  • Meet the privacy and confidentiality requirements of HIPAA.
  • Two-part carbonless sign-in sheets
  • Allows patients to sign in without seeing the information of other patients.
  • After patients sign in, labels peel off top of form, showing no protected information imprinted on the bottom of the form for staff use.
  • Accommodates 6,260 patient visits
You may also like:

Notice of Privacy
StyleCodeOne Case ContainsPriceAdd to Cart
W-PSGN W-PSGN 250 sheets (6,250 patient sign-ins) $69.00

How to Order Online:

  1. To purchase an item, press the [Add to Cart] button. The cart will open.
  2. To purchase multiple cases of an item, enter new quantity and click [Update Cart].
  3. To remove an item, check-mark "Remove," then click [Update Cart].
  4. Press [Continue Shopping] to return to this page.
  5. To review your cart, press [View Cart].
  6. To complete your order, , press [View Cart] and select either [Checkout with PayPal] or [Checkout with Credit Card].
  7. Enter your billing and shipping information.
  8. To pay with check, choose [Checkout with PayPal] and "Click here if you do not have a Pay Pal account."
  9. You will receive an email receipt for your order if you entered a proper email address.
  10. If you have any questions, call us at 800-869-6590.
We accept MasterCard, VISA, American Express, Discover, eCHECK and PayPal

Toll-free phone: (800) 869-6590
Toll-Free Fax: (800) 307-8606

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