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PATIENT RIGHTS AND RESPONSIBILITIES - ENGLISH

PATIENT RIGHTS AND RESPONSIBILITIES - ENGLISH

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$9.86

9.86
SKU 91-REG-108
MODEL BILLING BALANCE 8.5 X 11

MODEL BILLING BALANCE 8.5 X 11

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$9.86

9.86
SKU 91-REG-105
AL AUTHORIZATION FOR USE AND DISCLOSURE OF PHI

AL AUTHORIZATION FOR USE AND DISCLOSURE OF PHI

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$9.86

9.86
SKU 91-CONS-115
CONSENT FOR SURGERY, ANESTHETICS, BLOOD PROD, OTHER PROD-EGD

CONSENT FOR SURGERY, ANESTHETICS, BLOOD PROD, OTHER PROD-EGD

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$9.86

9.86
SKU 91-CONS-109-EGD
CONSENT FOR SURGERY, ANESTHETICS, BLOOD PROD, OTHER PROD-CWPP

CONSENT FOR SURGERY, ANESTHETICS, BLOOD PROD, OTHER PROD-CWPP

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$9.86

9.86
SKU 91-CONS-108-CWPP
REFUSAL OF BLOOD TRANSFUSION

REFUSAL OF BLOOD TRANSFUSION

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 3-Hole Drill
Unit: Pad [100/pd]
$8.86

8.86
SKU 91-CONS-118
PREGNANCY VERTIFICATION - IMAGING

PREGNANCY VERTIFICATION - IMAGING

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 3-Hole Drill
Unit: Pad [100/pd]
$8.86

8.86
SKU 91-CONS-111
PATIENT ACCESS CODE

PATIENT ACCESS CODE

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-REG-113
NOTICE OF NONDISCRIMINATION

NOTICE OF NONDISCRIMINATION

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-REG-112
NOPP ACKNOWLEDGEMENT - SPANISH

NOPP ACKNOWLEDGEMENT - SPANISH

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-REG-110-SP
NOPP ACKNOWLEDGEMENT

NOPP ACKNOWLEDGEMENT

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-REG-110
GOOD FAITH ESTIMATE

GOOD FAITH ESTIMATE

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-REG-104
SURRENDER OF CUSTODY

SURRENDER OF CUSTODY

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-126
REFUSAL OF CONSENT FOR TRANSPORT

REFUSAL OF CONSENT FOR TRANSPORT

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-125
OPT OUT FORM

OPT OUT FORM

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-124
NO SUICIDE CONTRACT

NO SUICIDE CONTRACT

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-123
REFUSAL OF CONTINUOUS FETAL MONITORING

REFUSAL OF CONTINUOUS FETAL MONITORING

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-122
CONSENT TO SUPPLEMENT THE EXCLUSIVELY BREASTFED NEWBORN

CONSENT TO SUPPLEMENT THE EXCLUSIVELY BREASTFED NEWBORN

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-121
INFORMED CONSENT FOR VACCINATION

INFORMED CONSENT FOR VACCINATION

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-120
CONSENT FOR INFANT TO STAY WITH MOTHER DURING HOSPITALIZATION

CONSENT FOR INFANT TO STAY WITH MOTHER DURING HOSPITALIZATION

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-119
PERMISSION TO PHOTO-VIDEO

PERMISSION TO PHOTO-VIDEO

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-116
RELEASE FOR KEEPING ITEMS ON PERSON DURING SURGERY

RELEASE FOR KEEPING ITEMS ON PERSON DURING SURGERY

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-114
LEAVING AGAINST MEDICAL ADVICE

LEAVING AGAINST MEDICAL ADVICE

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$5.86

5.86
SKU 91-CONS-113
CONSENT TO STRESS TESTING

CONSENT TO STRESS TESTING

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-110
CONSENT FOR VAGINAL DELIVERY AFTER CESAREAN (VBAC)

CONSENT FOR VAGINAL DELIVERY AFTER CESAREAN (VBAC)

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-107
PATIENT CONSENT TO HIV TEST

PATIENT CONSENT TO HIV TEST

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 2-Part NCR
Finishing: 
Unit: Pad [100/pd]
$18.31

18.31
SKU 91-CONS-106
POST DELIVERY EARLY DISCHARGE CONSENT FORM

POST DELIVERY EARLY DISCHARGE CONSENT FORM

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-105
CONSENT TO PHOTOGRAPH

CONSENT TO PHOTOGRAPH

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-104
PEDIATRIC HEP-B VACCINE INFORMED CONSENT

PEDIATRIC HEP-B VACCINE INFORMED CONSENT

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-103
CONSENT FOR TREATMENT-SPANISH

CONSENT FOR TREATMENT-SPANISH

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-100-SP
CONSENT FOR TREATMENT

CONSENT FOR TREATMENT

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pad [100/pd]
$5.86

5.86
SKU 91-CONS-100
DIABETES EDUC OP FLYER

DIABETES EDUC OP FLYER

Finished Size: 8.5 x 11
Digital: Color
Sides: Single
Stock: 100# Gloss Txt
Unit: Pack [100/pk]
$25.86

25.86
SKU 91-DIAB-114
HYPERBARIC OXYGEN THERAPY FLYER

HYPERBARIC OXYGEN THERAPY FLYER

Finished Size: 8.5 x 11
Digital: Color
Sides: Double
Stock: 100# Silk Text
Finishing: 
Unit: Pack [100/pk]
$55.90

55.90
SKU 91-WC-101
WOUND CARE FLYER - ALL LOCATIONS

WOUND CARE FLYER - ALL LOCATIONS

Finished Size: 8.5 x 11
Digital: Color
Sides: Single
Stock: 100# Silk Text
Finishing: 
Unit: Pack [100/pk]
$30.90

30.90
SKU 91-WC-102
PATIENT EDUCATION RECORD

PATIENT EDUCATION RECORD

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: Corner Staple
Unit: Pack [100/pk]
$16.06

16.06
SKU 91-DIAB-102
FOLLOW-UP FOR GESTATIONAL DIABETES

FOLLOW-UP FOR GESTATIONAL DIABETES

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$9.86

9.86
SKU 91-DIAB-111
DEC GESTATIONAL PT EDUCATION REC INDIV PRE-ASSESSMENT

DEC GESTATIONAL PT EDUCATION REC INDIV PRE-ASSESSMENT

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$9.86

9.86
SKU 91-DIAB-109
FOLLOW-UP POST DIABETES EDUCATION

FOLLOW-UP POST DIABETES EDUCATION

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$9.86

9.86
SKU 91-DIAB-108
DIABETES EDUCATION ASSESSMENT FORM

DIABETES EDUCATION ASSESSMENT FORM

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$9.86

9.86
SKU 91-DIAB-105
DIET HISTORY FOR MEAL PLANNING

DIET HISTORY FOR MEAL PLANNING

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$9.86

9.86
SKU 91-DIAB-104
DIABETES EDUCATION PROGRESS NOTES

DIABETES EDUCATION PROGRESS NOTES

Finished Size: 8.5 x 11
Digital: Black
Sides: Double
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$9.86

9.86
SKU 91-DIAB-101
WOUND OSTOMY AND OP CARE

WOUND OSTOMY AND OP CARE

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$5.86

5.86
SKU 91-WC-100
MD LETTER OP GESTATIONAL DIABETES EDUCATION PROGRAM

MD LETTER OP GESTATIONAL DIABETES EDUCATION PROGRAM

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$5.86

5.86
SKU 91-DIAB-112
MD FOLLOW-UP POST DIABETES EDUCATION

MD FOLLOW-UP POST DIABETES EDUCATION

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$5.86

5.86
SKU 91-DIAB-110
INITIAL ASSESSMENT GESTATIONAL DIABETES

INITIAL ASSESSMENT GESTATIONAL DIABETES

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$5.86

5.86
SKU 91-DIAB-107
OP DIABETES EDUCATION PROGRAM NOTE TO MD

OP DIABETES EDUCATION PROGRAM NOTE TO MD

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$5.86

5.86
SKU 91-DIAB-106
GESTATIONAL DIABETES REFERRAL

GESTATIONAL DIABETES REFERRAL

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$5.86

5.86
SKU 91-DIAB-103
DIABETES OP EDUCATIONAL SERVICES

DIABETES OP EDUCATIONAL SERVICES

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$5.86

5.86
SKU 91-DIAB-100
MONK SKIN TONE SCALE

MONK SKIN TONE SCALE

Finished Size: 7.02 x 5.25
Digital: Color
Sides: Double
Stock: 100# Silk Cvr
Finishing: 
Unit: Pack [100/pk]
$42.90

42.90
SKU 91-WC-103
BREAST MRI INFORMATION

BREAST MRI INFORMATION

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$5.86

5.86
SKU 91-IMAG-MRI-007

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