Available as either a 2- or 3-part carbon-interleaved snap set. This transfer form has printing on both sides of each copy to give a very detailed account of the residents status at the time of transfer. After completing the front side, the feather-edge carbon is easily removed and re-inserted face down for completion of the second side. The back contains information regarding the residents ability to perform ADLs and his/her psychosocial disposition.
8 1/2" x 11" (detached), white paper, yellow and pink copies, black ink, 2-part, wrapped in 125s, 3-part wrapped in 250s.
Disclaimer : No part of this site constitute medical advice or nor it replaces any advice provided by healthcare adviser. We urge buyer to take advice from the designated healthcare adviser about usage of any product here or if it is suitable for the buyer. This site takes no responsibility of the consequences arising out of the usage of any product from this site. By buying products from this site, buyer agree that buyer has the knowledge of the usage of the product. All warranties implied or explicitly mentioned here are responsibility of the manufacturer of the product. We are not able to accept any insurance or Medicaid or Medical for any purchase. Our apologies for that inconvenience.
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.