Any 2-sided form may be printed HTT or HTH. Rates subject to change.
HTT= Head to Toe: Used for top bound charts
HTH= Head to Head: Used for side bound charts
HTT= Head to Toe: Used for top bound charts
HTH= Head to Head: Used for side bound charts
#0808
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Authorization for Release of Information
This form is used to obtain the authorization from the patient to release their clinical records to a requesting party.
Sold in pads of 100. |
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#0848
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Transfer/Referral Form
This form is to be completed when the patient is referred to the hospital or other facility.
Sold in pads of 100. |
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#0861
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Medication Reconciliation form
This form is used to document the patient’s allergies and current medications with a section to document whether to continue, hold or discontinue the medications upon discharge.
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#0892
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Verbal Orders
This form is used to document verbal orders from providers.
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