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FRONT / BACK view	Product Code: 3853-2

Description   Initial Pain Assessment # 3850 100 per pad Features Dimensions: 8.5" x 11" Color: White 2 Sides Different Related Items Nutritional Assessment Screening #3860-2 Readmission Agreement - 2 Part NCR # 752 Authorization for release of information # 2190 24 Hour Report / Change Of Condition # 2707NCR Resident- Facility Arbitration Agreement - 2 Part NCR #753 Medi-Cal Long Term Care Facility Admission And Discharge Notification # MC 171-2 Braden Scale Sore Risk # 2294-2 Resident Inventory List Update # RPCS - 8

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