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Resident Assignment - ADL Card # 3840
Resident Assignment
PAS / PASARR Level 1 Screening - 4 part NCR #6170
PAS / PASARR Level 1 Screening - 4 part NCR
Privacy Act - Health Care Records # 1608
Privacy Act - Health Care Records
Inventory Of Personal Effects - 2 Part NCR # 3240
Inventory Of Personal Effects - 2pt NCR
Record Of Inquiry & Intake Information # 3303
Record Of Inquiry & Intake Information
Notice of Privacy Practice # HIPAA
Notice of Privacy Practice
Nutritional Assessment # 118
2 Part NCR
White paper 8.5" x 11" with Manila Card 5" x 8"
100 per set
Discharge Summary 2 part NCR # 3711 NCR
Discharge Summary 2 part NCR # 3711 NCR
2 part NCR
250 sets per package
Nutritional Assessment # VAL 054
2 Part NCR
White paper 8.5" x 11" with Manila Card 5" x 8"
100 per set
Facility Vertification Of Resident Informed Consent #2353
Facility Vertification Of Resident Informed Consent