Prices
We have a full variety of
Health Care Forms:
SAMPLES:
60 Days Summ.Samples
Agreement Samples
Adm. Order Samples
ABN Notice Samples Adv. Directives Samples
Affidavits Samples
Authorization to Sign
BP Logs Samples
Bill of Rights Samples
Behavior Sample
Behavior
Sample 2
BS Log Samples
Credit Card Auth.
Case Conf. Samples
Communication LOG
Consents Various
Clinic/MD Office Forms
D/C Forms Samples
Educational Brochures
Emergency Plan
Emergency Release
Fall Tools
Face to Face
Must be incorporated to MD EHR: $ 25.00 ------------> Face to Face EHR
Glucometer Calib.
Grievance
HHA Plan Samples
HHA Notes Samples
Homebound
HME/DME Forms
HHA Waiver Notes Initial Report/Eval
Intake/Referral
Medication Samples MC Non Coverage
Mod. Orders/V.O.
MSW Forms
MA Fraud Info MC Sec. Payor Qt
Missed Visit
OT Forms
Oxygen Forms/Labels
Physician Orders
Photo Auth Samples
Phychiatric Forms
Pediatric Form
PT Forms
Pain Tools
Release Info Auth.
Respiratory
Referal Form
Recert Order
Risk
Management Forms
SN High Tech Notes
Supervision Forms
SN Notes Samples
ST Forms
Surveys Rt/Emp.
Transfer
Weekly Samples
Wound forms Samples
SN Flow Sheet (Hrs)
ADMISSION PACKAGE: all bi-lingual forms (English-Spanish)
We have a
FULL sign up already ensemble, like a "BOOKLET",
ready for your admission nurses, don't loose time sorting your forms, adding
labels, folders, etc......OUR SIGN UP PACKAGE IS READY TO USE.
EVERY NEEDED FORM INCLUDED,
at only: (minimum order 25)
$ 5.00 the full package or $
4.75 HMO, Non Skilled, Nurse Registry versions
Also we have ready:
Discharge
Packages.............. $ 3.75 each
Recertification Packages ..... $ 3.49 each
Client Information Handbook:
with
all Patient's Information/educational needs
(English-Spanish ready)
$ 3.75 each minimal order 25
Customized Sign Up Folders: Designed with your Company's Logo, phone
and address, all labels needed including: Allergies, Abuse/Hot line Info,
Universal Precautions, Accreditation Info, hours of operation, etc....... $
2.25 each
We have all
Admission Forms:
* Aide Assignment * Grievance Procedures * Emergency/Disaster Form
* Appointment of Representative * Abuse/Abuso * Advance Directives
* Nutritional Screening * Service Agreement * Nursing Care Plan
* Consent for Treatment * Medication Schedule * HIPAA Acknowledgment
* Choice form * Bill of Rights/Responsibilities * Patient's Handbook
Also all Clinical forms:
* Verbal Orders
* Recertification Orders
* Reinstatement Orders
* Therapy forms PT-OT-ST
* Nurses notes
* Aide notes
* Reinstatement form * Wound forms *
Respiratory Therapy forms
* MSW forms * Team communication * Case Conference
* Itineraries * Supervision forms * Diabetes forms, etc
* Discharge Form
* Agreement Addendum * Referrals Form
We Have Full
PRINTING
Services, with all Home Care, HME, Clinics Forms, 1, 2 or 3 part (NCR- Carbonless)
* to cover the every day paper supply, equipment cost, repairs increasing
we may add an operating fee of 7% to each invoice.