• Fluid Intake Record Form

This detailed form is to be used to track intake of fluids, for the resident at increased risk of dehydration. When initiated at the time the resident is assessed at high risk, this form can be useful in prompting further interventions to avoid actual dehydration.


In Microsoft Word format. 2 pages.


This product is not mailed to you. After purchase, you can download the file from the receipt page or the email receipt.

Fluid Intake Record Form

  • Product Code: Document-26
  • Availability: In Stock
  • $15.95