This report for Internal Medicine captures results for the finger stick whole bood glucose test.  It includes patient, Date of Birth, Dr, Date, Last PO, Date and Time specimen received and date and time test is run. Medical personnel fill out the appropriate results.  Label is then placed in patient chart, while the duplicate creates the automatic duplicate log. There are 13 Test Reports per sheet.   Each label is 3/4" x  7 1/4".  There are 1300 test reports per package.  Color coded with a green border.

• The Perfect Solution for Patient Documentation
  Color-coded Forms-on-a-label
  Make patient documentation convenient and
  Regulatory Compliance Automatic.
  
  

  Fill in the Report. Complete both the Report and Duplicate Record in one writing. No transcription errors!	Tear at perforation. Remove the Report along the perforation and send it to the physician or filing location.
  Affix in chart. Peel the self-adhesive Report off and affix it to the patient's chart.	Keep duplicate Record. Keep an identical log in the MediTape binder for a complete and accurate record.

FREIGHT CHARGES
ACS always confirms to our customers total amount to be charged including freight costs before order
is processed.

RETURNS
There is a 15 day return policy. Customers have 15 days to return products after they have received them. Products are not returnable after this time. Returns are subject to a restocking fee of 25%. If the return is a result of our error, we will issue a call tag. We grant returns on products only if the product and the packaging are in re-sellable condition. Custom products are not returnable.

SALES TAX
ACS charges sales tax if you are a Texas resident, Texas State Sales Tax will be added at the time your
order is invoiced. If you are tax exempt you must provide a Texas Sales Tax Exemption Certificate.