Advanced Search
  • Wishlist
  • Register
Toggle Nav
Menu
Account
download.png

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

James

FEATURED PRODUCTS
  1. Biogel PI UltraTouch G Sterile Powder-Free Synthetic Surgical Gloves, Size 5.5 ALA42155Z
    Biogel PI UltraTouch G Sterile Powder-Free Synthetic Surgical Gloves, Size 5.5 ALA42155Z
    $284.54
    Quick Shop Add to Wish List Add to Compare

Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details

Summary Form (Non-OASIS) 8 1/2" x 11"

In stock
SKU
MPSBRG-3583/2P
More Information
Brand Briggs Healthcare
MPN 3583/2P
Packaging 1 per each
Size 8 1/2In x 11In
$47.52
-
+
Wish List Compare
Capture patient information for transfer/referral and/or discharge summary for non-OASIS patient discharges. May also be used to analyze reasons for discharge and transfer/referral, and trend thisinformation. Can also beused to collect data for length of stay and retrospective record reviews.
8 1/2" x 11" (detached), 2-part carbonless snap set, white original, canary copy, black ink, standard 5-hole punched top and side, wrapped in 100s.
Reviews
Write Your Own Review
You're reviewing:Summary Form (Non-OASIS) 8 1/2" x 11"
Your Rating
Top