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Late Loss ADL Flow Sheet

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$20.80
SKU: 3145-10
$20.80

  • Easy to use grid format to record late loss ADL’s
  • One form covers a full month saving space in your medical records
  • Printed 2 sides different
  • 5-hole punched top and side

Download a sample today!

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

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