Admission Record
UPDATED 2022
Briggs Admission Record provides for the detailed information needed for new post-acute care admissions as well as discharge information.
This 2-part form allows for the original white copy to be placed in the current medical record and another yellow copy to be forwarded according to your facility's policies/procedures.
Download a sample today!
Briggs Admission Record provides for the detailed information needed for new post-acute care admissions as well as discharge information.
This 2-part form allows for the original white copy to be placed in the current medical record and another yellow copy to be forwarded according to your facility's policies/procedures.
Download a sample today!
Size: 8 1/2 x 11
Packaging: 100 per pack
Print: Black Ink
Paper: 2-part NCR - white & yellow copiesPackaging: 100 per pack