Briggs Form 1265 is uniquely designed to allow you to remove copies without taking the actual form out of the patients chart. After the physician writes an order, Parts 2 and 3 are removed as a set, then separated for distribution to Nursing and Pharmacy. Pharmacy and Nursing copies are cut below the stub allowing quick removal while the top sheet stays in the chart. A backing sheet (Part 4) holds all parts together. Available with 5-hole top punched (1265P) or non-punched (1265).
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WARNING: There are products on this website which can expose you to chemicals known to the State of California to cause cancer and birth defects or other reproductive harm. For more information go to www.p65warnings.ca.gov.