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Physicians Telephone Order 2-Part Form

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1 – 4$51.70
5 – 9$45.00
10 – 14$38.60
15 +$31.90
SKU: 990

Briggs most popular telephone orders provide a complete system for documenting physicians orders take over the phone. Simply record the doctors message on the form, send the original to the doctor for signature and place the duplicate in the clinical record as a temporary copy. Once returned, the original ca be positioned on a mount sheet in the chart as a permanent record.

Ask your representative today about custom imprinting this form. A quick, easy, and affordable service to personalize your form!

3 1/2" x 7" detached, yellow original, color coded copies, black and red ink, all packaged in 500s.

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