Briggs Healthcare Late Loss ADL Flow Sheet - White Paper with Black Ink

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SKU 3145-10-100-Pad
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Briggs Healthcare Late Loss ADL Flow Sheet

Easy to use grid format to record late loss ADL’s
One form covers a full month saving space in your medical records
Printed 2 sides different
5-hole punched top and side


Color: White paper with black ink
Size: 2 Pages - 11" x 8-1/2"
Hole Punch: 5 holes on top and side
Printed: 2 sides different head to foot

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