In stock
$41.32
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Details

  • Provides an easy check-off list format to aid the admission process
  • Helps ensure documentation is complete
  • Blank spaces allow the addition of facility-specific requirements
  • Printed 2 sides different
  • 5-hole top & side punched

Color:White with Black Ink
Size:8-1/2" x 11"
Hole Punch:5 holes on top and left side
Printed:2 sides different head to head
Quantity:100 ea/pd (Also sold in a case of 25 pd/ca)

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Long-Term Care Admission Checklist 3612P