Prices
We have a full variety of
Health Care Forms:
Covid-19 Pamplet 0.99 each
(Patient-Staff education material, bilingual)
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
SN Flow Sheet (Hrs)
SN High Tech Notes
Supervision Forms
SN Notes Samples
ST Forms
Surveys Rt/Emp.
Transfer
Weekly Samples
Wound forms Samples

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 without OASIS
* $ 5.65 the full package including SOC OASIS full assessment
STAMPS: $ 29.99, you can order here:
Stamp Order
Comprehensive Assessment OASIS C: (minimum order 25)
SOC
......................... 0.65 cents
Recert/Follow Up
... 0.50 cents each
Discharge
..............
0.45 cents
Transfer
.................
0.30 cents
Also we have ready:
Discharge
Packages.............. $ 3.75 each
Recertification Packages ..... $ 3.75 each
Client Information Handbook:
with
all Patient's Information/educational needs
(English-Spanish ready)
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....... $
1.75 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
* OASIS assessments
* Reinstatement form * Wound forms
* MSW forms * Team communication * Case Conference
* Itineraries * Supervision forms * Diabetes forms, etc
* Discharge Form
* OASIS Assessments * Referrals Form
We Have Full
PRINTING
Services, with all Home Care, HME, Clinics Forms, 1, 2 or 3 part (NCR- Carbonless)