Medical information form for plurality of individual reports

• US 4,116,470 A
• Filed: 01/31/1977
• Issued: 09/26/1978
• Est. Priority Date: 09/15/1975
• Status: Expired due to Term

• Current Assignee: Edward L. johnsen
• Original Assignee: Edward L. johnsen
• Inventors: Johnsen, Edward L.
• Primary Examiner(s): Pellegrino, Stephen C.
• Application Number:
  US05/767,945
• Time in Patent Office: 603 Days
• Field of Search: 283/66, 40/102, 40/125 A, 40/104.18, 401/158 R
• US Class Current: 283/66.2
• CPC Class Codes: A63F 3/0665 having a message becoming legible after rubbing-off a coating or removing an adhesive layer for educational purposes G09B
• CPC Class Codes: B42D 1/10 Files with adhesive strips for mounting papers
• CPC Class Codes: B42D 15/00 Printed matter of special format or style not otherwise provided for

Abstract

A base or carrier sheet is selectively coated with pressure sensitive adhesive which is concealed by a protective, removable release sheet. The release sheet is subdivided into a plurality of interconnected, independently removable panels, each of which conceals an area of the base or carrier sheet and a portion of the adhesive pattern which is to be occupied by a single report.

Claims

1. A medical information form comprising a base or carrier sheet and one or more reports which are selectively secured thereto, said base or carrier sheet having a particular pattern of pressure sensitive adhesive on one surface thereof, which subdivides said surface into areas which are free of adhesive, and wherein said pattern comprises an elongate, transversely extending strip co-extensive with the width of the base or carrier sheet, and a release sheet secured to, carried by, and overlying the said base or carrier sheet and the adhesively coated surface thereof, said release sheet longitudinally subdivided into a plurality of interconnected, independently removable sub-panels each of which overlies an adhesive strip and an area of the base or carrier sheet which is to be occupied by a single report upon removal of a sub-panel whereby to secure one report to the particular adhesive pattern which is exposed incident to the removal of a sub-panel of the release sheet, and wherein each report is not only secured to the base or carrier sheet but also to a portion of an adjacent report when mounted on the information form, said portion of the adjacent report including a coating of pressure sensitive adhesive and a strip of removable release sheet secured to, carried by, and concealing said adhesive coating.