Telephone Order Form 3-Part
Briggs Form 982 includes a check-off audit block.
The last part on this form serves as a temporary copy as well as the mount sheet once the signed original is returned. Routing is as follows:
· ORIGINAL COPY-Physician Please Sign and Return
· PHARMACY COPY-Send to Pharmacy
· CHART CONTROL COPY-Attach Original Signed Copy When Received
Ask your representative today about custom imprinting this form. A quick, easy, and affordable service to personalize your form and improve efficiency!