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Diet History/Food Preference List

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$67.10
QuantityPrice
1 – 4$67.10
5 – 9$64.50
10 – 14$61.50
15 +$58.90
SKU: 1184P
$67.10

Provides the Food and Nutrition Services/Dietary Department with information to ensure the resident receives food and beverages that align with:

preferred routines,

preferences

allergies/intolerances/restrictions,

current diet orders and special food requests



Download a sample today!

Size:  8 ½" x 11
Construction: 2-part edge-glued form
Paper:  white and canary carbonless paper, black ink
Punching:  5-hole punched top and side
Packaging:  100 per pack.

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