Combines family history, hospitalizations, current medications and current problems on one form. Helps you conform to NCQA & JCAHO guidelines. Printed both sides in teal ink on white 24-lb. paper. In packages of 250. Form size: 8-1/2×11″.
- Type of form: Patient care form
- 250 per pack
- Size: 8 1/2″ x 11″
- Binding type: Loose
- Number of parts: 1
- Combines family history, hospitalizations, current medications and current problems on one form
- Helps to conform NCQA and JCAHO guidelines
- Printed both sides in teal ink on white 24 lbs. paper
Attribute name | Attribute value |
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Length in Inches
The physical dimensions of the form.
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8 1/2″ x 11″ |
Width in Inches
Actual manufacturer name for the color of the product.
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White |
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