Sample Files

NARHC has an ever-growing list of downloadable Sample files, such as:

  • Acuity Form
  • Annual Review Evaluation Report
  • Charges Code & Lab Sheet
  • Controlled Medication Agreement & Policy
  • Flu Vaccine Consent Form
  • Hazard Surveillance Inspection Checklist
  • Late Patient Policy
  • Liquid Nitrogen Handling
  • Medication Area & Exam Room Inspection Sheets
  • MSP Patient Check In – long & short
  • Patient Rights
  • Patient Satisfaction Survey
  • Sample Safety Checklist
  • Supervising Phys. Review of Mid-levels

And others!  To access the complete list of links CLICK HERE.    NOTE: access to the complete list requires a member log in.  Sample files are one of the many Member Benefits provided by NARHC. Click on the Member Portal/Member Benefits to find out more about joining NARHC.