15DC2770_Clinical Forms_173-196 2/13/15 10:33 AM Page 196 Sign-In Sheets C A D CLINICAL FORMS B 367-3603 367-9238 367-3546 367-4603 A-C. PADDED SIGN-IN SHEETS D. WELCOME SIGN-IN FORM * Welcome your patients with style * Each design has enough room for 50 patient names and arrival times * Printed on 28-Lb. ledger stock in pads of 100 * 81/2"W x 11"H, 1-sided * Welcome patients with this classic form * Enough room for 44 patient names and appointment times * 81/2"W x 11"H, 1-sided Sheets .......................................................................100 per Pkg. 2 Pkg.@ 5 Pkg.@ F (367-3546) ................................................................100 per Pkg. 2 Pkg.@ 5 Pkg.@ 14.29 13.29 11.29 G E 367-1046 367-1047 367-1050 H E-G. PATIENT SIGN-IN SHEETS * Removable strip protects patient privacy * Carbon sheet transfers names to the back sheet * Available in 3 different designs * 81/2"W x 11"H, 1-sided Sheets .......................................................................100 per Pkg. 2 Pkg.@ 5 Pkg.@ 59.99 58.99 56.99 H. HIPAA PRIVACY SIGN-IN SHEETS * Removable strip protects patient privacy * Carbon sheet transfers names to the back sheet * Available in 3 colors * 81/2"W x 11"H, 1-sided Sheets........................................................................250 per Pkg. 2 Pkg.@ 5 Pkg.@ 196 www.henryscheindental.com 69.49 68.29 66.29 Salmon Blue Green 367-1043 367-1044 367-1045 38.29 37.29 35.29http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3673603%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3679238%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3673546%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3674603%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3673546%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3671046%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3671047%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3671050%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3671043%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3671044%26CatalogName%3DDENTAL http://www.henryschein.com/redirect.aspx?did=dental&returnurl=/us-en/Shopping/ProductDetails.aspx%3Fproductid%3D3671045%26CatalogName%3DDENTAL http://www.henryscheindental.com