| 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. Items highlighted in yellow are discontinued. 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:
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ADMINISTRATIVE ITEMS Form # Form Name 60-002-411 Capital Equipment Requisition 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 (the 1180 form) 60-005-803 Purchase Requisition 60-005-806 Small Purchase Order - Special Note: Two packages of Small Purchase Orders can be ordered at a time via e-procurement. The order will be delivered by Campus Mail. 60-005-810 Check Request 60-005-819 Key Requisition 60-005-820 Return Goods Report - now discontinued MEDICAL ITEMS Form # Form Name 10-080-502 Label 2 7/8 X2 10-080-504 Label 1 X 3 60-001-123 Post Anes. Record 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 - now MC 6946
*This item has transferred to the Copy Center. Order by MC number.
60-001-225 Clinic History Record 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 - MC 6432 *This item has transferred to the Copy Center. Order by MC number. 60-001-263* Med Emerg - MC MC 6407 *This item has transferred to the Copy Center. Order by MC number. 60-001-264* Micro/Virol - MC 6953 *This item has transferred to the Copy Center. Order by MC number. 60-001-265* Spec Test I - MC 6435
*This item has transferred to the Copy Center. Order by MC number. 60-001-266* Spec Test II - MC 6434
*This item has transferred to the Copy Center. Order by MC number.
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. 60-001-293 Trauma Assessment (Flow Sheet) 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 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 60-002-490* Administrative Forms Requisition - now MC 0307 *This item has transferred to the Copy Center. Order by MC number. 60-002-520 EKG C.S. 60-002-534 Phys. Order 60-002-551 Stipend Requisition 60-002-553 PICU/PICCU Collection Sheet-discontinued 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. 60-002-617* Gyn/Cytology Requisition - now MC 6424 *This item has transferred to the Copy Center. Order by MC number. 60-002-618 Transfusion Service Form 60-002-621 Label - CORE/VIR 60-002-645 Recon Label 60-002-650 Property Record 60-002-657* Opscan Questionnaire - now MC 4200 *This item has transferred to the Copy Center. Order by MC number. 60-002-658 Student Travel Forms 60-002-659 VMG Maps 60-002-660* Report of Death - MC 1463 (Form Discontinued)
60-002-664 VPLS Req. 60-002-664 VPLS Letterhead
60-002-668 Blue Pat Cd 60-002-670 CRRT Flow Sheet 60-002-676 Ctr. for Radiation Oncology Trtmt 60-002-679 VPLS Req. 60-002-680 Patient Medication Sample 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 60-002-693 E.D. Visitors 60-002-695 Sep. Exp. Lbl 60-002-700 Date/Time lbl 60-002-703 Accession Label/Blood Bank 60-002-705 Pharm Therm 60-002-709* Peds ED Nurs Flowsht - now MC 6479 *This item has transferred to the Copy Center. Order by MC number. 60-005-829 Return Goods Report - Discontinued
60-002-715 Transfusion Administration Record 60-005-810 Check Request 60-005-819 Key Requisition 63-000-300 Wax Resin Ribbon formerly 80007-004 67-000-747 High Alert Med label 67-000-749 Downtime Lab 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 67-000-811 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 67-000-820 Test Label for Training 67-000-823 VUMC Blood Bank Roll Label 67-000-824 High Alert Med (small) label 67-000-826 Volunteer Donor Label 67-000-827 White Labels, 1" 67-000-828 Label - Irridation 67-000-829 Label - Rh Negative 67-000-830 Label - Trauma Group O 67-000-831 Label - Bacteria Tested Negative 67-000-832 Label - Uncrossed Matched Emergency 67-000-833 Label - Cytogenetics |
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