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Telephone Order Form with Audit Checklist 3-Part

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$108.40
QuantityPrice
1 – 4$108.40
5 – 9$94.60
10 – 14$80.80
15 +$67.10
SKU: 1393/3
$108.40
Briggs telephone orders, with special audit section, help ensure the appropriate information is properly communicated to all applicable areas. Simply record the verbal orders, sent the original to the doctor for signature, send the second part to the pharmacy for order fulfillment and place the third copy in the clinical record as a temporary copy (until the signed original is returned).

Ask your representative today about custom imprinting this form. A quick, easy, and affordabl service to personalize your form!
3 3/8 x 8 (actual size) carbonless white original color-coded copies black and red ink 3-part packaged in 500s

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