Report of Consultation Form 63
$33.12
In stock
Product Code :
MPSBRG-63
| Color | White |
|---|---|
| MPN | 63 |
| Brand | Briggs Health Care |
| Packaging | 1 per each |
| Size | 8 1/2In x 11In |
Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details.
Briggs Form enables the attending physician to specify in writing the nature of the services to be provided by the consulting physician. The consulting physician then utilizes this same form to report the findings. Form 63 is single sheet white paper. This form is available in 2- or 3-part carbon-interleaved snap-out-style sets (form 852/2 or 852/3).
Black ink; single sheets, 8 1/2" x 11", white paper, black ink.
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