Obstetric Triage Record, Form #5709. Documents the triage process and supports the decision to admit the patient or send them home. 50/pack.

Used to assess family dynamics whith the birth of a child and provides informatin necessary to make referrals to appropriate health system or community agencies. 8 1/2" x 11" (detached), 3-part snapset, white original and color coded carbonless copies, green and black ink, 7-hole punched left and 5-hole punched top, wrapped in 50's.

Provides for simultaneous examination of the infant and teaching of any adult caregiver in the home. Documents physical, nutritional, behavorial assessments and PKU testing of infant. 8 1/2" x 11" (detached), 3-part snapset, white original and color coded carbonless copies, green and black ink, 7-holes punched left and 5-holes punched top, wrapped in 500's.