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Newborn Identification Record Form

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$91.60
QuantityPrice
1 – 4$91.60
5 – 9$88.80
10 – 14$86.10
15 +$83.30
SKU: 5718N
$91.60

Secure A Lasting Impression

At only pennies per form, this complete tracking record is a smart and economical way to reduce your risk, as well as save time and money.

This versatile, easy-to-use form ensures accurate mother and infant identification from birth through discharge.

The unique design makes it easier for staff to apply the infant footprints while the baby is in the warmer. It is also designed to work with any footprint inking process - standard black ink or the non-staining Kleen Print® system.

At discharge, attaching the babys bracelet to the form provides a permanent record that you have verified mother/infant identity.


Download a sample today!

8 1/2 x 11, gloss white paper, green and black ink, printed one side, 7 holes punched left and 5 holes punched top, wrapped in 50s.

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