Milcom Child Registration and History Record
SKU
MPSBRG-2276R
In stock
| MPN | 2276R |
|---|---|
| Packaging | 1 per each |
| Size | 17In x 11In overall ( 8 1/2In x 11In folded) |
$181.18
Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details
This record is completed by the parent or guardian on the initial visit and provides the physician with information on family history, development and behavioral issues, health and safety issues, hospitalization and serious illnesses, allergies and immunizations.
Designed and endorsed by STFM.
Updated to remain current.
Standardized and Versatile for consistency and easy integration into existing systems.
Developed to aid in RISK MANAGEMENT.
Designed and endorsed by STFM.
Updated to remain current.
Standardized and Versatile for consistency and easy integration into existing systems.
Developed to aid in RISK MANAGEMENT.
17" x 11" overall ( 8 1/2" x 11" folded), 4-page booklet-style form, white heavy paper, black and blue ink, printed two sides different, 5-hole punched top and side, wrapped in 100s.
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