Products

PRE-REGISTER FOR HOSPITAL STAY

Finished Size: 5 x 7
Digital: Color
Sides: Single
Stock: 110# Index (White)
Unit: Pack [100/pk]
$16.45 (per pack)

16.45

SKU 41-BS-2215

PRE-SCREENING FORM/IV CONTRAST

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

5.86

SKU 91-IMAG-102

PRE-SLEEP QUESTIONNAIRE

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

5.86

SKU 42-SL-106

PRE-SURGERY BROCHURE

Finished Size: 8.5 x 11
Digital: Color
Sides: Double
Stock: 80# Silk Cvr
Finishing: Fold
Unit: Pad [100/pd]
$65.90

65.90

SKU 47-SURG-102

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

PREGNANCY PATHWAYS FLYER

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

25.86

SKU 41-BS-2237

PREGNANCY TEST ORDER FORM

Finished Size: 5.5 x 8.5
Digital: Black
Sides: Single
Stock: 20# White
Finishing:
Unit: Pad [100/pd]
$3.43

3.43

SKU 42-IMAG-101

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

Preparing for Delivery Packet

Finished Size: 8.5 x 11
Digital: Black & Color
Unit: 9 different forms, collated [100/pk]

- Birth Wish Checklist (20# Bond, Single, Black)
- Acknowledgement of Paternity (28# CC Text, Single, Color)
- Birth Certificate - What you need to know (28# CC Text, Duplex, Color)
- Mothers Worksheet for Live Birth (20# Bond, Single, Black, Staple)
- Preparing for Your Delivery Day (28# CC Text, Single, Color)
- What to Bring to the Hospital (28# CC Text, Single, Color)
- Birth Suites Safety Guidelines Flyer (20# Bond, Single, Black)
- Car Seat Inspection Stations in Alabama (20# Bond, Single, Black)
- Safe Sleep Environment (28# CC Text, Duplex, Color)

$209.34 (per pack)

209.34

SKU 41-BS-098 (9 pgs)

Preparing for Pregnancy Packet

Finished Size: 8.5 x 11
Digital: Color
Unit: 5 different forms, collated [100/pk]

- Preparing for Pregnancy Flyer (100# Silk Text, Single, Color)
- Maternity Support Center Flyer (100# Silk Text, Single, Color)
- Birth Suites Tour & Pregnancy Class Flyer Flyer (100# Silk Text, Single, Color)
- Expectant Parent Classes (28# CC Text, Duplex, Color)
- Urgent Maternal Warning Signs (28# CC Text, Single, Color)

$147.10 (per pack)

147.10

SKU 41-BS-096 (5 pgs)

PREPARING FOR YOUR DELIVERY DAY

Finished Size: 8.5 x 11
Digital: Color
Sides: Single
Stock: 28# Color Copy Bond (White)
Unit: Pad [100/pd]
$25.86 (per pad)

25.86

SKU 41-BS-2214

PREPARING FOR YOUR DELIVERY DAY (SPANISH)

Finished Size: 8.5 x 11
Digital: Color
Sides: Single
Stock: 28# Color Copy Bond (White)
Unit: Pad [100/pd]
$25.86 (per pad)

25.86

SKU 41-BS-2214-SP

Preparing to Go Home Packet

Finished Size: 8.5 x 11
Digital: Black & Color
Unit: 9 different forms, collated [100/pk]

- Your Choice-Advance Directives brochure (28# CC Text, Duplex, Color, Staple)
- Tdap Vaccine Info (20# Bond, Duplex, Black)
- Flu Vaccine Info (20# Bond, Duplex, Black)
- Hep-B Info (20# Bond, Duplex, Color)
- Patient Rights & Responsibilities-English (20# Bond, Duplex, Black)
- NOPP (20# Bond, Duplex, Color, Staple)
- Post Birth Warning Signs (28# CC Text, Single, Color)
- Lactation Service [Birth Suites] (28# CC Text, Single, Color)
- Managing Motherhood Flyer (28# CC Text, Single, Color)

$252.78 (per pack)

252.78

SKU 41-BS-097 (9 pgs)

PRESSURE ULCER STAGING AND POA QUERY

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

5.86

SKU 91-CM-124

PROCEDURE RECORD

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

5.86

SKU 91-SURG-102

PROGRESS NOTE

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

5.86

SKU 91-NADM-5005

PROGRESS NOTES

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

5.86

SKU 91-PHYS-106

PROs PRE-OP SURVEY QUESTIONS FOR CMS

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

5.86

SKU 91-ORTHO-102

PROVIDER BADGE BUDDY - ALERTS

Finished Size: 2 x 3.5
Digital: Color
Sides: Single
Stock: 14 mil Pre Synthetic
Finishing:
Unit: Pad [100/pd]
$25.00

25.00

SKU 91-STVMG-101

PT EVALUATION

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-PT-103

PT PATIENT ROSTER

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-PT-100

PT PROGRESS NOTE/PLAN OF CARE

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-PT-217

PT QUESTIONNAIRE

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

16.06

SKU 41-PT-218

PULMONARY EDEMA ACUITY QUERY

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

5.86

SKU 91-CM-125

PULMONARY REHAB ADMISSION AND ASSESSMENT

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

5.86

SKU 42-CARD-101

PULMONARY REHAB ADMISSION AND ASSESSMENT

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

5.86

SKU 43-CARD-101

QUESTIONS FOR MY DOCTOR

Finished Size: 8.5 x 11
Digital: Color
Sides: Single
Stock: 28# Color Copy Bond (White)
Unit: Pack [100/pk]
$25.86 (per pack)

25.86

SKU 41-BS-2216

RAD 04 POST BIOPSY FORM

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

5.86

SKU 41-IMAG-108

RADIATION CONTAMINATION SURVEY RECORD

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

9.86

SKU 41-IMAG-NM-101

RADIATION ONCOLOGY PATIENT EVALUATION FORM

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

5.86

SKU 41-CANC-103

RADIOLOGY 04 POST BIOPSY INTERVENTION

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

5.86

SKU 41-IMAG-PHYS-102

RADIOLOGY 19 INTRA PROCEDURAL ORDERS

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

5.86

SKU 41-IMAG-PHYS-101

RADIOLOGY DOWNTIME FORM

Finished Size: 5.5 x 8.5
Digital: Black
Sides: Single
Stock: 3-Part NCR
Finishing:
Unit: Pad [100/pd]
$26.27

26.27

SKU 42-IMAG-102-DT

RADIOLOGY DOWNTIME ORDER FORM

Finished Size: 8.5 x 11
Digital: Black
Sides: Single
Stock: 3-Part NCR
Unit: Pack [100/pk]
$26.27 (per pack)

26.27

SKU 41-IMAG-109-DT

RADIOLOGY DOWNTIME PRELIMINARY REPORT

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

5.86

SKU 91-IMAG-101

REFERRAL FOR CONTINUITY OF PATIENT CARE

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

9.86

SKU 91-CM-134

REFUSAL FOR ERYTHROMYCIN EYE OINTMENT

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-127

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

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

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

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

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

RELEASE FOR KEEPING ITEMS ON PERSON DURING SURGERY - 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-114-SP

RELEASE INSTRUCTIONS FOR I-131 OUTPATIENTS

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

5.86

SKU 41-IMAG-NM-106

RELEASE OF MEDICAL RECORD AND INFORMATION

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

5.86

SKU 42-SL-101

RELEASE OF MEDICAL RECORD AND INFORMATION

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

5.86

SKU 45-SL-104

RELEASE TO MORTUARY/ORGAN DONATION - ADULT

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

5.86

SKU 91-NADM-160

REPORT OF CONSULTATION

Finished Size: 8.5 x11
Digital: Black
Sides: Single
Stock: 2-Part NCR
Finishing:
Unit: Pad [100/pd]
$18.31

18.31

SKU 91-NADM-5006

REQUEST FOR EMERGENCY RELEASE

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

18.31

SKU 91-BB-100

REQUEST TO STOP ANTICOAGULATION

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

5.86

SKU 41-IMAG-104

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