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Summary Form (Non-OASIS)

SKU
MPSBRG-3583/2P
In stock
More Information
Brand Briggs Healthcare
MPN 3583/2P
Packaging 1 per each
Size 8 1/2In x 11In
$119.10

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

    Capture patient information for transfer/referral and/or discharge summary for non-OASIS patient discharges. May also be used to analyze reasons for discharge and transfer/referral, and trend thisinformation. Can also beused to collect data for length of stay and retrospective record reviews.
    8 1/2" x 11" (detached), 2-part carbonless snap set, white original, canary copy, black ink, standard 5-hole punched top and side, wrapped in 100s.
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