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Patient consent forms.

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 1574 Pads of 100 0.000  Consent - Allergy Immunotherapy SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Reg Bond, 5 HP  Printed on demand  Allergy Clinic PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 8331 Pads of 100 0.000  Consent - Amniocentesis SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT:  Printed on demand  System Support Services PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 3421 Pads of 100 0.000  Consent - Argon Laser Trabeculoplasty SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond, 5 HP, DO NOT PAD  Printed on demand  Ophthalmology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 1931 Packs of 50 6.940  Consent - Autopsy & Disposition of Fetus SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 3 Pt NCR W/C/P  Printed on demand  Pathology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 1742 Each 0.460  Consent - Autopsy &tc Body of Newborn SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 2 pt NCR, 5 HP,Collate  Printed on demand  Labor and Delivery PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 1693 Pads of 100 0.000  Consent - Candela Vascular Laser Surgery SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Light Blue Bond, Pads/100, 5 HP  Printed on demand  Dermatology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 3394 Pads of 100 0.000  Consent - Chalizion SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond, 5 HP, DO NOT PAD  Printed on demand  Ophthalmology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 3724 Each 0.000  Consent - Chemotherapy for Malignant Disease SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Reg Bond, 5 HP, Collate, No Staple  Printed on demand  Cancer Clinic Infusion Room PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 3391 Pads of 100 0.000  Consent - CryoTherapy of the Eyelashes SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond, 5 HP, DO NOT PAD  Printed on demand  Ophthalmology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 3413 Pads of 100 0.000  Consent - Diode Laser Cyclophotocoagulation SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond, 5 HP, DO NOT PAD  Printed on demand  Ophthalmology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 2208 Pads of 100 0.000  Consent - Direct Current Countershock Cardioversion SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Light Blue Bond, 5 HP, Do Not Pad  Printed on demand  Cardiology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 3451 Pads of 100 0.000  Consent - Dobutamine Stress Echocardiogram SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond 100/pd 5HP  Printed on demand  Cardiology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 7279 Pads of 100 0.000  Consent - E.R.C.P. (Endocopic Retrograde Cholangiopancreatogra SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond???  Printed on demand   PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 2206 Pads of 100 0.000  Consent - Electrophysiology Study SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Light Blue Bond, 5 HP, Do Not Pad  Printed on demand  Cardiology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 8334 Pads of 100 0.000  Consent - Electrophysiology Study & Radiofreq Ablation SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT:  Printed on demand  System Support Services PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 4985 Pads of 100 0.000  Consent - Excision SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue, 5 HP, Pads/100  Printed on demand  Shelbyville Derm Clinic PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 0731 Packs of 50 0.000  Consent - Exercise Testing SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 2 pt NCR  Printed on demand  Health Promotion Center PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 1796 Pads of 100 0.000  Consent - Exercise Testing SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Reg Bond, Pads/100  Printed on demand  Cardiology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 5836 Pads of 100 0.000  Consent - Fine Needle Aspiration SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Canary Bond, Pads/100  Printed on demand  Pathology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 2281 Pads of 100 0.000  Consent - Flash Lamp Pulsed Dye Laser Procedure SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond, 5 HP  Printed on demand  Dermatology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 3403 Pads of 100 0.000  Consent - Fluorescein Angiography SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond, 5 HP, DO NOT PAD  Printed on demand  Ophthalmology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 3402 Pads of 100 0.000  Consent - Focal Laser SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond, 5 HP, DO NOT PAD  Printed on demand  Ophthalmology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 2283 Pads of 100 0.000  Consent - Glycolic Acid Peel to Face SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond, 5 HP  Printed on demand  Dermatology PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 0509 Packs of 50 5.220  Consent - Immunization (Peds) SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11.5 2 pt NCR, 5 HP  Kept in stock  CHOC PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 3721 Packs of 50 4.900  Consent - Immunization (Peds) SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 2 pt NCR, 5 HP  Printed on demand  University Pediatrics PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 2824 Pads of 100 0.000  Consent - Informed Consent for Breast Core Biopsy SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond, 5 HP, Pads/100  Printed on demand  Breast Imaging PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO

MC# UNIT OF ISSUE: PRICE PER UNIT:  FORM TITLE: 2822 Pads of 100 0.000  Consent - Informed Consent for Cyst Aspiration SIZE: MATERIAL:  PRODUCTION METHOD:  DEPARTMENT: 8.5 x 11 Blue Bond, 5 HP, Pads/100  Printed on demand  Breast Imaging PDF avail- able? ENGLISH ARABIC CROATIAN JAPANESE KOREAN KURDISH LAOTIAN RUSSIAN SPANISH VIETNAMESE NO NO NO NO NO NO NO NO NO NO