Promoting and protecting the health and safety of all Idahoans
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A prescription referral pad with the title 'For Provider Use Only' at the top, followed by sections on medication reviews, patient education, and fall prevention exercises. It includes fields for the patient's name, health care provider signature, and dates, along with instructions and a list of classes for fall prevention.

*Please allow 2-3 weeks for delivery*

Fit and Fall Proof™ Prescription Referral Pad

$ 0.00

Use this prescription referral pad to allow health care providers to refer patients to a Fit and Fall Proof class or other fall prevention methods.  For FFP coordinators only.

Ships in quantities up to 5. Max of 5 prescription pads per order.

Note: Materials will NOT be shipped outside the State of Idaho. 

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