| Copy Center & Forms Mgmt. | Outside Forms Supplier |
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Our supplier of forms that cannot be produced
on-campus is Standard Register Corporation. Standard has advised us that they can provide next-day delivery on all orders for in-stock items, which covers virtually all VU forms they produce. However, please note that the order must be received in Vanderbilt Procurement by 11:00 am to fall under this guarantee. For a summary of how to order 60- and other forms, click here. Below is a nearly complete list of the forms supplied by Standard Register (all of which have 60- numbers). However, for security reasons, forms capable of being used for issuing prescriptions are not included here. Also, in some cases, forms sourcing is shifted between the Copy Center and Standard either due to changing printing requirements or contract provisions. These are noted in either red or blue below. Please note that there is an important provision in the Standard Register contract that you should be aware of. No stock can be left in the SR warehouse more than a year. For this reason, you may be contacted by the Standard Register representative to arrange a buyout of such items. This is also the reason you will see a temporary change in the number of some forms below--they had to be bought out but will be restocked later. If you have questions or concerns, please contact: For placement of orders and related questions: Carolyn Wiley-Laumeyer, Procurement, ext. 2-3692, or by e-mail here. For general forms questions: Tim Jones, Copy Center and Forms Management, ext. 2-6170, or by e-mail here. Standard Register:
CUSTOMER SERVICE: Andrea Hindmon (800) 877-9483, ext. 2225 SALES: Janice Parks, Corporate Account Representative, (615) 360-2620 | |
ADMINISTRATIVE ITEMS Form # Form Name 60-002-411 Capital Equipment Requisition 60-002-490* Administrative Forms Requisition - now MC 0307 *This item has transferred to the Copy Center. Order by MC number. 60-002-523 Travel Authorization 60-002-524 Travel Advance (Registration Fee) 60-002-551 Stipend Request 60-002-658 Student Travel Form 60-005-802 Requisition for Supply (“1180”) 60-005-803 Purchase Requisition 60-005-806 Small Purchase Order Fax a copy of a completed 1180 to 343-6468 Geri Vaughn will send form to you via Campus Mail 60-005-810 Check Request This item WAS provided TEMPORARILY by the Copy Center. It has now returned to Standard Register. 60-005-811 Station B Meter Mail Slip 60-005-818 Salary Deduction 60-005-819 Key Requisition 60-005-820 Return Goods Form - MC 0058 (Temporary Change) * This item provided TEMPORARILY by the Copy Center. 60-005-823 Canary Performance Evaluation MEDICAL ITEMS Form # Form Name 10-080-502 Label 2 7/8 X2 10-080-504 Label 1 X 3 60-001-101 Transfusion Service Collection Sheet 60-001-123 Post Anes. Record 60-001-139 Heart Station Requistion 60-001-141* Cythology Lab Requisition (Non gynecologic)- now MC 6534 *This item has transferred to the Copy Center. Order by MC number. 60-001-169 Clin Chem V 60-001-172 Request for photographs 60-001-225* Clinic History Record
60-001-233 Radiol Flash 60-001-240 Radioactive Material Biowaste Tag 60-001-245* Perioperative Nursing Record/Implants - now MC 6438 *This item has transferred to the Copy Center. Order by MC number. 60-001-260 Blood Bank Requisition 60-001-261 Body Fluids 60-001-262 Lab General 60-001-263 Med Emerg 60-001-264 Micro/Virol 60-001-265 Spec Test I 60-001-266 Spec Test II 60-001-275* Perioperative Nursing Record - now MC 5079 *This item has transferred to the Copy Center. Order by MC number. 60-001-276* Periop MAR - Now MC 6557
*This item has transferred to the Copy Center. Order by MC number. 60-001-278 Interim MAR 60-001-293 Trauma Assessment (Flow Sheet) 60-001-296 E.D. Discharge Document 60-001-303 Maternal Fetal Monitoring 60-002-413* Special Drug Requisition - now MC 0100 *This item has transferred to the Copy Center. Order by MC number. 60-002-419 Phys Diagnosis & Procedure List - No longer available (Old orange-border sheet--discontinued by Medical Records, fall '08) 60-002-445* Nurse Progress Notes - MC 4300 (Temporary Change) * This item provided TEMPORARILY by the Copy Center. 60-002-451 Radio Waste 60-002-456* Sunday Visitors Pass - MC 4945 60-002-457* Monday Visitors Pass - MC 4946 60-002-458* Tuesday Visitors Pass - MC 4947 60-002-459* Wednesday Visitors Pass - MC 4948 60-002-460* Thursday Visitors Pass - MC 4949 60-002-461* Friday Visitors Pass - MC 4950 60-002-462* Saturday Visitors Pass - MC 4951 *All visitor passes have transferred to the Copy Center-order by MC number 60-002-485 Diabetic Flowsheet & Bedside Glucose Log - MC 4300 * This item provided TEMPORARILY by the Copy Center. 60-002-490* Administrative Forms Requisition - now MC 0307 *This item has transferred to the Copy Center. Order by MC number. 60-002-491 Medical Forms Requisition 60-002-496 Wht Work Ticket 60-002-497 Manual Work Ticket 60-002-498 Blue Work Ticket 60-002-511 Radiology Request 60-002-519 E.D. Triage 60-002-520 EKG C.S. 60-002-534 Phys. Order 60-002-553 PICU C.S. 60-002-551 Stipend Requisition - MC 0052 (Temporary Change) * This item provided TEMPORARILY by the Copy Center 60-002-569 Lipid Lab Requisition 60-002-574 Critical Care Flowsheet 60-002-604* Cardinal Health Return Form - now MC 6425 *This item has transferred to the Copy Center. Order by MC number. 60-002-616 VMG Bank Bag 60-002-617* Gyn/Cytology Requisition - now MC 6424 *This item has transferred to the Copy Center. Order by MC number. 60-002-618 Transfusion Service (donor tags) 60-002-620 Sep Label 60-002-623 Radiol Label 60-002-625 E.D. Pharmacy Charges 60-002-645 Recon Label 60-002-646 PRN Bag 3X5 60-002-648 PRN Bag 6X9 60-002-649 Pyxis Paper 60-002-650 Property Record 60-002-653 ED Pt. Care Flowsheet 60-002-656 Psy. Phys Orders 60-002-657* Opscan Questionnaire - MC 4200 (Temporary Change) *This item provided TEMPORARILY by the Copy Center 60-002-658 Student Travel Forms - MC 0053 (Temporary Change) * This item provided TEMPORARILY by the Copy Center. 60-002-659 VMG Maps 60-002-660* Report of Death - MC 1463 (Temporary Change) *This item provided TEMPORARILY by the Copy Center 60-002-664 VPLS Req. 60-002-665 VPLS C.S. 60-002-668 Blue Pat Cd 60-002-670 CRRT Flow Sheet - MC 4203 (Temporary Change) * This item provided TEMPORARILY by the Copy Center. 60-002-678 Tox/TDM Req 60-002-679 VPLS Req. 60-002-680 Patient Medication Sample 60-002-683 Fast Track Triage Form 60-002-685* E.D. Trauma Order Sheet - Now MC 4197 *This item has transferred to the Copy Center. Order by MC number. 60-002-686 Ped. Trauma Nursing Flowsheet 60-002-689 2006 Path lb 60-002-691 Lab Std Lbl 60-002-693 E.D. Visitors 60-002-694 Sep. Stat lbl 60-002-695 Sep. Exp. Lbl 60-002-698 Fast Track Triage Sheet 60-002-699 CVICU F/S 60-002-700 Date/Time lbl 60-002-701 Pharmacy Thermal Label 60-002-703 Accession Label/Blood Bank 60-002-705 Pharm Therm 60-002-706 Label-Peppermint gauze 60-002-707 DPS-TPN Thermal Labels 60-002-709* Peds ED Nurs Flowsht - now MC 6479 *This item has transferred to the Copy Center. Order by MC number. 60-002-711 E.D. Assessment Flowsheet 60-002-713 Requisition for Surgical Pathology 60-005-810 Check Request - MC 0090 (Temporary Change) * This item provided TEMPORARILY by the Copy Center. 63-000-300 Wax Resin Ribbon formerly 80007-004 65-100-094 Lab Label 67-000-705 Do Not Shake Label Formerly 59705905 67-000-709 Blind Shroud Label Formerly 0709 67-000-720 Do Not Tube Label 67-000-722 Label: 100mg/ml 67-000-723 Low Postassium Label 67-000-724 High Potassium Label 67-000-726 For Inhalation Only Label 67-000-730 Drug: Look Alike Names Label 67-000-732 Store at Room Temperature Label Formerly 0732 67-000-733 Diluted Label 67-000-736 Do Not Shake or Tube Label 67-000-737 Caution: Dosage Strength Label 67-000-738 Poison Label 67-000-739 Shake Well - Blue Label 67-000-740 Warning: Paralyzing Agent Label 67-000-741 Do Not Use After Label 67-000-742 Latex Free Label 67-000-743 Very Short Stability Label 67-000-745 Contains Latex 67-000-746 Potassium Added Label Formerly 59705846 67-000-747 High Alert Med label 67-000-748 Keep in Refrigerator Formerly 59705948 67-000-749 Downtime Lab Label 67-000-753 KCL Label 67-000-754 Caution: Federal Law Label 67-000-757 Note Expiration Date Label 67-000-758 Contains Heparin Label 67-000-759 Use First Label 67-000-765 Now Label Formerly 59705865 67-000-770 Return to Pharmacy Label 67-000-772 Check Crash Cart First Label 67-000-773 For External Use Only Label Formerly 59705973 67-000-777 For Epidural Administration Label Formerly 59705877 67-000-783 Very Short Stability - Yellow Label Formerly 59704783 67-000-795 Caution Cytotoxic Formerly 59705995 67-000-797 STAT Label Formerly 59704097 67-000-799 Warning Label, Paralyzing Agent, Causes Respiratory Arrest 67-000-800 Lab Slide Label 67-000-801 Outpatient Pharmacy Label 67-000-802 Pediatric E.R. Dept Nursing Flowsheet 67-000-803 JCAHO Mandated Post Label 67-000-804 Hazardous Waste Tag 67-000-805 Radioactive Solid Tag 67-000-806 Radioactive Liquid Tag 67-000-807 Radioactive-Biowaste 67-000-810 VUMC Demand Check Sticker 67-000-811 Pediatric ER Dept Nursing Narrative Form 67-000-815 Medication Label 67-000-816 Discharge Appt Card - Blue 67-000-817 Discharge Appt Card - Gold 67-000-819 VUMC Outpatient Pharmacy 67-000-821 MedCarousel Label 67-000-822 Cytology Lab Slide, Direct Thermal Label |
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