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Admitting Record for Health Care Facilities Form

In stock
SKU
MPSBRG-3016
More Information
Brand Sage
MPN 3016
Packaging 1 per each
Size 8 1/2In x 11, 8 1/2In x 4 1/4In
$150.38

This 4-part carbon interleaved snap set contains information related to admission, financial responsibility, information release authorization and discharge. Part 3 serves as a notification slip, Part 4 is an admitting file card.

Part 1 (white paper) and Part 2 (yellow paper) measure 8 1/2" x 11: detached, Part 3 (pink paper) and Part 4 (heavy white ledger, stock) measure 8 1/2" x 4 1/4" if needed for filing. All parts printed in black ink, packaged in 100s.
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