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FRONT / BACK view	Product Code: 1507-2

Description   Recap Of Care Discharge Summary #1507-2 100 per pad Features Dimensions: 8.5" x 11" Color: White 2 Sides Different Related Items Record Of Inquiry & Intake Information # 3303 Authorization to Receive or Release Medical Info. #3386 Informed Consent - 2 or 3 Part NCR # 3731 NCR Facility Vertification Of Resident Informed Consent #2353 Nursing Assessment and Evaluation # 3387-2 Admission Audit Rev. # 3715 Privacy Act - Health Care Records # 1608 Bedhold Notifcation Form # 3418

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