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Orders for clinical patient forms must be reviewed by the Office of Medical Record Governance before printing. You will be included in the review communication and notified of your request status. Learn more about clinical patient forms .

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BIRMINGHAM LAB REQUEST

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

18.31
SKU 41-LAB-100

GI ENDOSCOPY CENTER INFORMATION FLYER

Finished Size: 8.5 x 11
Digital: Color
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$25.86

25.86
SKU 41-GIL-103

GI LAB INFUSION INJECTION PROCEDURE PLAN OF CARE

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

9.86
SKU 41-GIL-102

GI LAB INSTRUCTIONS FOR CARE AFTER PROCEDURE

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 3-Part NCR
Finishing: 
Unit: Pad [100/pk]
$26.27

26.27
SKU 41-GIL-101

GI POST PROCEDURE FORM

Finished Size: 8.5 x 5.5
Digital: Black
Sides: Single
Stock: 20# White
Finishing: 
Unit: Pack [100/pk]
$4.36

4.36
SKU 41-GIL-100

PHARMACY ANESTHESIA CHARGE SHEET

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

18.31
SKU 41-PHARM-100

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