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UAB PATIENT CALL-IN CHECKLIST

Finished Size: 4.25 x 11
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$3.86 (per pad) 

3.86
SKU 41-BS-2202

UAB BIRTH SUITES 30-VAG C-SEC DEL SCHED

Finished Size: 8.5 x 11
Digital: Color
Sides: Single
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$25.86 (per pad) 

25.86
SKU 41-BS-2206

UAB MOM INTAKE AND OUTPUT RECORD

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$5.86 (per pack) 

5.86
SKU 41-BS-162

UAB STABILIZATION CHECKLIST

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$5.86 (per pad)

5.86
SKU 41-BS-103

UAB PATIENT SIGN IN FORM

Finished Size: 4.25 x 6.25
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$5.86 (per pad) 

5.86
SKU FORM: 41-BS-104

UAB BIRTH SUITES CHARGE SHEET

Finished Size: 8.5 x 11
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$9.86 (per pad)

9.86
SKU 41-BS-107

BOY BIRTH INFO CARD

Finished Size: 8.5 x 5.5
Digital: Black
Sides: Single
Stock: 110# Index (Blue)
Unit: Pack [100/pk]
$5.95 (per pack) 

5.95
SKU 41-BS-108-BLUE

GIRL BIRTH INFO CARD

Finished Size: 8.5 x 5.5
Digital: Black
Sides: Single
Stock: 67# Vellum Bristol (Pink)
Unit: Pack [100/pk]
$5.95 (per pack) 

5.95
SKU 41-BS-108-PINK

UAB MOTHERS WORKSHEET FOR LIVE BIRTH

Finished Size: 8.5 x 11
Digital: Black
Sides: Simplex
Stock: 20# Bond (White), Corner Staple
Unit: Pack [100/pk]
$29.06 (per pk)

29.06
SKU 41-BS-110

NEWBORN SCREENING REFUSAL

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 2-Part NCR (CB White, CF Canary)
Unit: Pad [100/pd]
$18.31 (per pad) 

18.31
SKU 41-BS-111

UAB INFANT MASSAGE CLASS

Finished Size: 8.5 x 11
Digital: Color
Sides: Single
Stock: 28# Color Copy Bond (White)
Unit: Pad [100/pd]
$28.66 (per pad) 

25.86
SKU 41-BS-112

UAB BIRTH SUITES - IMMUNIZATION RECORD

Finished Size: 5 x 3
Digital: Black
Sides: Single
Stock: 90# Index (White)
Unit: Pad [100/pd]
$6.64 (per pad)

6.64
SKU 41-BS-113

UAB BIRTH SUITES FAX SHEET

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$5.86 (per pad) 

5.86
SKU 41-BS-114

UAB HOSPITAL WORKSHEET FOR LIVE BIRTHS

Finished Size: 8.5 x 11
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$9.86 (per pad) 

9.86
SKU 41-BS-115

UAB RELEASE OF LIABILITY WHEN PT REFUSES C-SEC AGAINST ADVICE OF MD

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$5.86 (per pad) 

5.86
SKU 41-BS-118

CONSENT FOR INFANT TO STAY WITH MOTHER

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$5.86 (per pad)

5.86
SKU 41-BS-119

UAB CORD GAS SAMPLE ORDER TICKET

Finished Size: 8.5 x 5.5
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$4.36 (per pad)

4.36
SKU 41-BS-134

PREGNANCY AND INFANT LOSS CHECKLIST

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 2-Part NCR (CB White, CF Canary)
Unit: Pad [100/pd]
$18.31 (per pad) 

18.31
SKU 41-BS-144

UAB BIRTH SUITES LABOR EPIDURAL ME

Finished Size: 8.5 x 3.5
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$3.72 (per pk) 

3.72
SKU 41-BS-147

UAB GYN REPORT SHEET

Finished Size: 8.5 x 11
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Unit: Pad [100/pd]
$9.86 (per pad) 

9.86
SKU 41-BS-150

UAB SHOULDER DYSTOCIA CODE SHEET

Finished Size: 7 x 5
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$6.36 (per pk) 

6.36
SKU 41-BS-160

UAB VITAMIN K REFUSAL FORM

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 2-Part NCR (CB White, CF Canary)
Unit: Pad [100/pd]
$18.31 (per pad) 

18.31
SKU 41-BS-161

UAB PERINATAL SAFETY

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# Bond (Pink)
Unit: Pad [100/pd]

6.49
SKU 41-BS-102

REFUSAL OF CONTINOUS FETAL MONITORING

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pad [100/pd]

5.86
SKU 41-BS-019

HIP POSTERIOR APPROACH GUIDE-SPANISH

Finished Size: 8.5 x 11
# of Pages: 12
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Finishing: Corner Staple
Unit: Pack [100/pk]
$56.06 (per pack) 

56.06
SKU 41-PT-221-SP

HIP ANTERIOR APPROACH GUIDE-SPANISH

Finished Size: 8.5 x 11
# of Pages: 12
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Finishing: Corner Staple
Unit: Pack [100/pk]
$56.06 (per pack) 

56.06
SKU 41-PT-220-SP

BACK AT HOME AFTER KNEE REPLACEMENT - SPANISH

Finished Size: 8.5 x 11
# of Pages: 4
Digital: Black
Sides: Duplex
Stock: 28# Color Digital
Finishing: Corner Staple
Unit: Pack [100/pk]
$20.06 (per pack) 

20.06
SKU 41-PT-219-SP

POST-OP LUMBAR HEP-SPANISH

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$5.86 (per pack) 

5.86
SKU 41-PT-215-SP

ANTERIOR TOTAL HIP HEP-SPANISH

Finished Size: 8.5 x 11
# of Pages: 3
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Finishing: Corner Staple
Unit: Pack [100/pk]
$16.06 (per pack) 

16.06
SKU 41-PT-214-SP

ANTERIOR HIP HEP-SPANISH

Finished Size: 8.5 x 11
# of Pages: 3
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Finishing: Corner Staple
Unit: Pack [100/pk]
$16.06 (per pack) 

16.06
SKU 41-PT-213-SP

BACK SAFETY HANDOUT-SPANISH

Finished Size: 8.5 x 11
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$9.86 (per pack) 

9.86
SKU 41-PT-210-SP

TOTAL KNEE REPLACEMENT HEP-SPANISH

Finished Size: 8.5 x 11
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$9.86 (per pack) 

9.86
SKU 41-PT-101-SP

HIP POSTERIOR APPROACH GUIDE

Finished Size: 8.5 x 11
# of Pages: 12
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Finishing: Corner Staple
Unit: Pack [100/pk]
$56.06 (per pack) 

56.06
SKU 41-PT-221

POST-OP LUMBAR HEP

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$5.86 (per pack) 

5.86
SKU 41-PT-215

REHAB DEPT. TIME OFF REQUEST

Finished Size: 8.5 x 5.5
Digital: Black
Sides: Single
Stock: 2-Part NCR
Unit: Pad [100/pk]
$14.31 (per pack) 

14.31
SKU 41-PT-102

ASMOC SURGERY PT ORDER - GENERIC

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 2-Part NCR
Unit: Pad [100/pk]
$18.31 (per pack) 

18.31
SKU 41-PT-204

ASMOC SURGERY PT ORDER - SHOULDER

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 2-Part NCR
Unit: Pad [100/pk]
$18.31 (per pack) 

18.31
SKU 41-PT-203

ASMOC SURGERY PT ORDER - KNEE

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 2-Part NCR
Unit: Pad [100/pk]
$18.31 (per pack) 

18.31
SKU 41-PT-202

ASMOC SURGERY PT ORDER - HIP

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 2-Part NCR
Unit: Pad [100/pk]
$18.31 (per pack) 

18.31
SKU 41-PT-201

ASMOC SURGERY PT ORDER - ELBOW

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 2-Part NCR
Unit: Pad [100/pk]
$18.31 (per pack) 

18.31
SKU 41-PT-200

HIP ANTERIOR APPROACH GUIDE

Finished Size: 8.5 x 11
# of Pages: 12
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Finishing: Corner Staple
Unit: Pack [100/pk]
$56.06 (per pack) 

56.06
SKU 41-PT-220

BACK AT HOME AFTER KNEE REPLACEMENT

Finished Size: 8.5 x 11
# of Pages: 4
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Finishing: Corner Staple
Unit: Pack [100/pk]
$20.06 (per pack) 

20.06
SKU 41-PT-219

TOTAL HIP HEP

Finished Size: 8.5 x 11
# of Pages: 3
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Finishing: Corner Staple
Unit: Pack [100/pk]
$16.06 (per pack) 

16.06
SKU 41-PT-214

ANTERIOR HIP HEP

Finished Size: 8.5 x 11
# of Pages: 3
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Finishing: Corner Staple
Unit: Pack [100/pk]
$16.06 (per pack) 

16.06
SKU 41-PT-213

PT QUESTIONNAIRE

Finished Size: 8.5 x 11
# of Pages: 3
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Finishing: Corner Staple
Unit: Pack [100/pk]
$16.06 (per pack) 

16.06
SKU 41-PT-218

PT PROGRESS NOTE/PLAN OF CARE

Finished Size: 8.5 x 11
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$9.86 (per pack) 

9.86
SKU 41-PT-217

SHOULDER HEP

Finished Size: 8.5 x 11
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$9.86 (per pack) 

9.86
SKU 41-PT-216

UPPER BODY THERABAND HEP

Finished Size: 8.5 x 11
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$9.86 (per pack) 

9.86
SKU 41-PT-212

LOWER BODY THERABAND HEP

Finished Size: 8.5 x 11
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$9.86 (per pack) 

9.86
SKU 41-PT-211

BACK SAFETY HANDOUT

Finished Size: 8.5 x 11
Digital: Black
Sides: Duplex
Stock: 20# Bond (White)
Unit: Pack [100/pk]
$9.86 (per pack) 

9.86
SKU 41-PT-210

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