Visual Pain Form in MicroSoft Word Format
Product No:W-PAF-129

JCAHO requires that the location & intensity of pain be accessed and documented in all patients. Our Visual Pain Form is an easy way to document and access your patients' pain while complying with Joint Commissions Pain Management Standards.

The form is designed in MicroSoft Word so you can customize the form to suit your patient population.

  • Exclusive design with adult and child pain measurement tools
  • 8-1/2 x 11” Format
  • MicroSoft Word Format (Mac & Windows)
  • Uses standard fonts (Verdana & Times Roman)
  • Includes English and Spanish
  • Quantity pricing below is for multiple site organization's. One license is required for each site.
  • DOWNLOAD a sample of the form in PDF Format.

Imprint:
   N/A
Personalization:
   N/A
Size:
  

8-1/2 x 11"

QUANTITY
1 - 5
  

PRICE: Per CD
 $201.25

6 - 9
   $201.25
10 +
    $201.25
 
Minimum Order is: 1
Shipping:
   Ships via UPS Ground unless another method of shipping is indicated at checkout.
Payment Terms:
  • We accept Purchase Orders, Company Check, MasterCard, Visa, or American Express.
  • YOUR FIRST ORDER MUST BE PRE-PAID WITH A CREDIT CARD OR COMPANY CHECK.
  • On approved credit, future orders can be billed Net 15 Days with a written Purchase Order (this is required before we can ship your order). You can place an order online using a Puchase Order. Select "Purchase Order" as method of payment. And enter your P.O. number where indicated.
  • Please send P.O. to CustomerCare@HealthcareInspirations.com.
  • P.O. Orders under $250.00 will be assessed a $20.00 billing fee. To avoid the billing fee, increase your order or pre-pay with credit card or company check.
  • Please read our Order Changes and Cancellation Policy