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FORM REQUEST

Form Name Unit Price Quantity Price
Inter-facility Transfer Form. Box of 100 forms.$35.00$0.00
First Responder Form. Box of 500 forms. $25.00$0.00
Refusal of Services Form. Box of 500 forms. $25.00$0.00
Interim Patient Care Record Form. Box of 150 forms. $25.00$0.00
Triage Tags. Box of 500 tags. $300.00$0.00
Individual Triage Tags. $0.60$0.00

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