Free printable medical records templates
[PDF File]Gilbert Guide Face Sheet
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Medical Power of Attorney or Healthcare Proxy Name & Contact Details: Advanced directives Contact person and phone numbers DNR No Antibiotics No IVs No Feeding Tube Do Not Hospitalize Only Comfort Care www.GilbertGuide.com Page 3 of 3
[PDF File]60 Essential Forms
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60 EssEntial Forms For long-tErm CarE DoCumEntation Form 1.1 Quality auditing form: Documentation Purpose: To perform a quick audit to ensure compliance with nursing documentation standards; for use with concurrent records/resident status.
[PDF File]100 Essential Forms for Long-Term Care
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100 Essential Forms for Long-Term Care provides convenient access to a compilation of essential forms that will save nursing home staff time and improve the documentation accuracy of every department in the long-term care facility. The updated content found in this new edition reflects recent regulatory changes
[PDF File]Medication Administration Record (MAR)
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Vital signs or other tracking per physician or team request: Date: _____ Date: _____
CERTIFICATION OF MEDICAL RECORDS AFFIDAVIT
CERTIFICATION OF MEDICAL RECORDS AFFIDAVIT _____, being first duly sworn on his/her oath, says that: (Name of records custodian/clerk) 1. I am the custodian of records for _____. (Name of facility or treatment provider) 2. The records attached hereto are true and exact copies of the reports and records of treatment of
[PDF File]This form may be photocopied and distributed Revised Oct ...
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Durable Power of Attorney for Healthcare Decisions ... My agent’s authority is effective immediately for the limited purpose of having full access to my medical records and to confer with my ... completed this document and acknowledged it as his/her free act and deed. IN WITNESS WHEREOF, I have set my hand and affixed my official ...
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