®		Custom Medical Applications
Cardiologist Oncologist HMO Hospitals - General Family Physicians Optometry Gynecologists Neurologists Human Resources As of C980708.		Click Here to Print Application (PDF) Return to all Applications ONCOLOGY & HEMATOLOGY Patient Medical Record - Reference#DV2229 The front of the folder is printed with the title of "Oncology & Hematology" and general instructions and a confidentiality notice. Labeled blanks for the following: Allergies Patient folder number Patients name Volume number for patients with multiple folders Kraft Dividers: 2" Bonded fastener in positions 1 & 3 on the folder panels. Dividers have Dual Clip fastenerin position 1 & 3. The customer had 3 dividers printed with the following titles : DIAGNOSTIC TESTS LAB PROGRESS NOTES FLOW SHEET / NURSING NOTES ORDERS CORRESPONDENCE Back to top RADIATION ONCOLOGY Patient Medical Record - Reference#DV2076 The folder does not have any print on the panels. 2" Bonded fastener in positions 5 & 7 on the folder panels. Dividers have 2" Bonded fasteners in position 5 & 7. The customer had 3 Kraft dividers printed with the following titles: CORRESPONDENCE PATH/LAB RADIATION NOTES - H&P ONURSING FLOW SHEETS X-RAYS PHYSICS Back to top RADIATION ONCOLOGY Hospital Patient Medical Record - Reference#DV2281 The front of the folder is printed with the title of "Radiation Oncology Chart", image of the hospital printed on bottom right hand corner along with hospitals logo on the top left hand corner. 2" Bonded fastener in positions 1 & 7 on the folder panels. Dividers have dual prong fasteners in position 1 & 3. The customer had 2 manila dividers printed with the following titles: TREATMENT INFORMATION MD CONSULT/FOLLOW-UP MD REFERRAL OUTSIDE REPORTS NURSING/CONSENT REPORTS: LAB, X-RAY/ENCOUNTER FORM Guidelines printed along side tab Back to top ONCOLOGY, HEMATOLOGY AND INTERNAL MEDICINE Patient Medical Record - Reference#DV2248 The front of the folder is printed with the title of the Hospitals name, 2 boxes, one 3 X 3 and 5 ½ X 3. Labeled blanks for a list of allergies and for volume numbers. 2" Bonded fastener in positions 1 & 7 on the folder panels. Dividers have dual prong fasteners in position 1 & 3. The folder is printed with the following titles: PATIENT DEMOGRAPHICS PROGRESS NOTES LABS/PATHOLOGY DIAGNOSTIC STUDIES CORRESPONDENCE PROBLEM LIST/VACCINATION SHEET Tab Guidelines printed along side tab Back to top
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