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Hospice Information Set (HIS) Discharge Assessments

SKU
MPSBRG-3560P-17
In stock
More Information
MPN 3560P-17
Packaging 1 per each
Size 8 1/2 X 11
$69.40

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

    Hospice agencies will need to start completing this form for all new discharges. Effective April 1st, 2017
    • 8 1/2 X 11 - 4 pgs
    • Prints different
    • 5-hole punched top and side
    • Wrapped in 50's
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