Patient Transfer 3-Part Form
SKU
MPSBRG-882T
In stock
MPN | 882T |
---|---|
Packaging | 125 per pack |
Size | 8 1/2In x 11In |
$363.93
Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details
Briggs Patient Transfer forms provide
information necessary for proper patient care when transferring to another
facility. Includes information on advance directives and vitals.
Both forms printed two sides different. The back contains information regarding
the patient s ability to perform ADLs and his/her psychosocial disposition.
After completing the front side, pull out feather-edge carbon, turn form over,
reinsert carbon face down, and complete second side.
- 8 1/2" x 11" (detached), white paper, black ink.
- Form 882T is a 3-part form 250 per pack.
- Also available: form 882 is a 2-part form - 125 per pack
Write Your Own Review