Page 34 - Canada 2017

Labels/Alerts
MED-ALERTTM LABELS
QUICKLY IDENTIFY PATIENT STATUS - LABELS PEEL-OFF EASILY, LEAVE NO STICKY RESIDUE - BRIGHT FLUORESCENT* COLORS
All main titles printed in Black in Capital Letters!
GREEN RED YELLOW BLUE
PINK
WHITE w/BLACK TYPE
ORANGE
WHITE w/RED TYPE
Color
Fluorescent Orange Fluorescent Red Fluorescent Yellow White w/ Black type
White w/ Red type Fluorescent Red
Fluorescent Orange Fluorescent Green
Fluorescent Orange
Fluorescent Pink
Fluorescent Green Fluorescent Red Fluorescent Green
Fluorescent Yellow
Fluorescent Red
Fluorescent Pink
Fluorescent Green Fluorescent Green Fluorescent Green
Cat. No. 50746 50747 50748 50749 50750
50751 50752
50753 50754
50755
50756
50757
50758
50759
50760
50761
50762
50763 50764
Title
Cat. No. 50765
50766
50767
50768
50769 50770
50771
50772
50773
50774
50775
50776
50777
50778
50779
50780
50781
50782
50783
50784
50785
Title
RECERTIFICATION COMPLETE: ___/___/___
ASSESSMENT DUE ON: ___/___/___
ASSESSMENT COMPLETE ON: ___/___/___
THIS IS A COPY-PLEASE KEEP FOR YOUR OWN FILES. DO NOT RETURN
WEEKLY CHARTING _____________
ROUTE TO CODER WHEN COMPLETE
ALERT CHARTING
NAME ALERT
MANAGED CARE
MEDICARE LAST COVERED DAY ___/___/___
CODE STATUS ____________
DISCHARGED DATE ___/___/___
CASE MANAGER ____________
YEARLY PHYSICAL DUE _________
YEARLY PHYSICAL DUE: ___/___/___
(Blank-no type) (Blank-no type) (Blank-no type) (Blank-no type) (Blank-no type) (Blank-no type)
Color
Fluorescent Orange Fluorescent Yellow Fluorescent Red
Fluorescent Red Fluorescent Red
Fluorescent Yellow Fluorescent Pink Fluorescent Red Fluorescent Pink
Fluorescent Yellow
Fluorescent Red
Fluorescent Red
Fluorescent Yellow
Fluorescent Pink
Fluorescent Pink Fluorescent Blue Fluorescent Orange Fluorescent Green Fluorescent Red Fluorescent Pink Fluorescent Yellow
DOCTOR PLEASE SIGN ________ PLEASE SIGN AND RETURN PLEASE SIGN AND RETURN DOCTOR’S SIGNATURE NEEDED ORIGINAL DOCUMENT
DO NOT REMOVE FROM CHART DO NOT THIN FROM CHART
CHART THINNED ON: ___/___/___
CHART THINNED ON ________ BY ________
THIS CHART HAS BEEN THINNED. THINNED MATERIAL IS IN MEDICAL RECORDS
MULTI-VOLUME CHART
This is volume_________ of__________ volumes
Please keep all volumes together.
DELINQUENT RECORD AS OF______________
THIS IS AN INCOMPLETE RECORD
CHART NEEDS DOCUMENTATION
CARE CONFERENCE
AND PLAN UPDATE COMPLETED: ___/___/___
CARE CONFERENCE DUE: ___/___/___
RE-CERTIFICATION DUE: ___/___/___
RETURN TO
MEDICAL RECORDS DEPARTMENT
PLEASE SIGN AND DATE DRG DAILY CHARTING
500 +/- PER ROLL 29.55
33 PHONE: 1-800-265-6613 | FAX: 1-800-760-1454 | EMAIL: info@firsthealthproducts.com | www.firsthealthproducts.com
*Fluorescent colors cannot be reproduced accurately in the printing process and the colors portrayed here are simulations of the actual fluorescent colors.