Long Term Care
Forms

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Long Term Care
Policy & Procedure Manual

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Ambulatory Surgery Center
Forms

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Featured Products

MED-REC SYSTEMS’ forms are updated regularly to reflect the most current state, federal, and accreditation documentation requirements. With over 400 standardized medical record forms as well as templates and services featuring custom design, we are able to assist facilities in meeting their specific needs.

 

 
Form

Case Mix ADL Data Collection

#0990
A two-sided data collection form capturing the self-performance and staff assistance for bed mobility, transfers, eating, and toilet use using the same terminology as the RAI manual and providing space to document any variances on the back. Sold in pads of 100. HTT or HTH

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HTT or HTH?
Form

MDS/Medicare Nursing Summary

#0135
A daily nursing summary for Medicare residents to document the status of the resident and provide supportive documentation. Sold in pads of 100. HTT

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Form

Ambulatory Surgery Center Medications

#0838
A complete list of the patient’s medications with a section to add new medications prescribed upon discharge from the surgery center.
Sold in pads of 100.

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