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Supervisory Visits of Home Health Care Staff (Onsite Visit)

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$75.40
QuantityPrice
1 – 4$75.40
5 – 9$63.20
10 – 14$51.00
15 +$38.90
SKU: 3553/2
$75.40
UPDATED 2022
Use this form to evaluate staff on a supervised (on-site) visit to a patient.

Updated to include:
-Home health care services are provided safely and effectively and documented appropriately.
-Demonstrates adherence to agency’s infection prevention and control policies & procedures.
-And more
 
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2-part carbonless snapset, Part 1 – 8 1/2" x 3", Part 2 – 8 1/2" x 11", white paper, black ink, wrapped in 100s.

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