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I ordered dispensers of various types, got it shipped really fast... a happy customer.

James

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Release from Responsibility for Discharge Form, Full Page

In stock
SKU
MPSBRG-3025P
More Information
Brand Sage
MPN 3025P
Packaging 1 per each
Size 8 1/2In x 11In
$36.89
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This form contains informationto release your facility from responsibility for a patient if he/she discharges themself from your facility against a physiciansand facility administrators advice.
8 1/2" x 11", white paper, black ink, printed one side, 5-hole punched top and side, padded in 100s.
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