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FRONT / BACK view	Product Code: 2701-2

Description   Base line Care Plan 2702-2 Features Dimensions: 8.5" x 11" Color: White Card 2 Sides Same Related Items Narcotic and Hypnotic Record # 3245 Notice Of Privacy Practices Rec. # HIPAA page 5 Labels - HMO E-26 Physician's Orders # E - 26 Status Communication Form - 2 Part NCR # 3805 Physicians Progress Notes # 0803 Nursing Dietary Communication Form #2355-2part NCR Diet Card ( REGULAR DIET) # 2300

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