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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
Authorization to Receive or Release Medical Info. #3386
Authorization to Receive or Release Medical Information
Self Administration Of Drugs Assess. 2part NCR #3830
Self Administration Of Drugs Assessment
Authorization for release of information # 2190
Authorization for release of information # 2190
100 per pad
Dimensions: 5.5" x 8.5"
Color: White
1 side
Record of Admission Authorizations # 747 b
Size: 8.5" x 11"
Color: 2 part NCR White / Yellow
Central Supply 080 NCR
Central Supply 080 2 Part NCR
Size : 7.25" x 3.3 "
2 Part NCR White / Wellow
Release From Responsibility for Discharge # 2193
Release From Responsibility for Discharge
Notification Of Room Change # 3464
Notification Of Room Change
PAS / PASARR Level 1 Screening - Flyer
PAS / PASARR Level 1 Screening - Flyer