Briggs Form 852 enables the attending physician to specify in writing the nature of the services to be provided by the consulting physician. The consulting physician then utilizes this same form to report the findings. Available in carbonless snap-out style or in single sheets printed on white paper.
2- and 3-part snap sets, 8 1/2" x 11", yellow paper (all parts), black ink; single sheets, 8 1/2" x 11", white paper, black ink.