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MED-PASS

Aide Progress Notes - Daily - 100/pack

HC1016H

Availability: In stock

Price: $23.50
  • Buy 5-9 for $21.00 each and save 11%
  • Buy 10 or more for $18.90 each and save 20%
Description
This two-part, carbonless form offers a simple format for the Home Health Aide, Hospice Aide or Homemaker to document activities performed during a patient visit.
Features
  • Each item can be checked as performed and additional notes made, if necessary.
  • A documentation prompt is provided to record changes in condition and to notify the nurse.
  • Space is provided for the nurse to later add comments and sign/date
  • Convenient minimum order quantities of 100
Specifications
Size 8-1/2 x 11-3/4
Unit Package of 100
Other Info Handwritten
Number of carbonless parts 2
Hole Punch 5 holes left, 2 holes top