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Hospital Discharge Instructions Form

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$40.65
QuantityPrice
1 – 4$40.65
5 – 9$35.45
10 – 14$30.40
15 +$25.10
SKU: 1253/2
$40.65
Briggs Form 1253/2 allows for written instructions to be given to the patient upon discharge, while providing a copy for the facilitys records. A patient signature indicating that instructions were explained and understood offers protection to the facility.

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8 1/2" x 11" (detached), white original, yellow copy, black ink, wrapped in 100s

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