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    Briggs Healthcare 3016 Admitting Record for Health Care Facilities Form
    Briggs Healthcare 3016
     

    Price: (Members Only)
    Brand : Briggs Healthcare
    MPN # : 3016
    Packaging: 100 Per Pack


    Availability: Usually Ships in 3 to 5 Business Days
    Product Code: BRIGGS-3016
    :

     
    Briggs Healthcare Admitting Record for Health Care Facilities Form

    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.

    Specifications : -

    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
    Quantity : 100 Per Pad


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    Rehab Supplies > Books and Reading Stands > Reading Stands
    Rehab Supplies > Books and Reading Stands

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    • Fax:(562) 232-4091

    Please fill out following form and submit for volume pricing

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    Address

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    • 14749 Carmentita Road
    • Norwalk, CA 90650

    Email

    Phone & Fax


    • Fax:(562)232-4091