|
Suboxone Routine
|
Do not use
|
|
Routine F/U
|
Comments F/U
|
|
Problem F/U
|
Type of Problems
• • •
|
|
Medical
• • •
|
Comments-Medical
|
|
FDLMP
|
FDLMP comments
|
|
Normal Physical Exam
|
Comments
|
|
HEENT - normal
|
HEENT: Abnormal
|
|
Comments
|
Comments
|
|
Neck -Normal
|
Neck Abnormal
|
|
Comments
|
Comments
|
|
Heart - Normal
|
Heart: Abnormal
|
|
Comments
|
Comments
|
|
Lungs- Normal
|
Lungs-Abnormal
|
|
Comments
|
Comments
|
|
Abdomen- Normal
|
Abdomen - abnormal
|
|
Comments
|
Other Dx
• • •
|
|
Skin - Normal
|
Skin - Abnormal
|
|
NEURO - normal
|
Comments
|
|
NEURO - Abnormal
|
Comments
|
|
MSK - Normal
|
MSK -Abnormal
|
|
Comments
|
UDS Results
• • •
|
|
Mental Status - Normal
|
Mental Status -Abnormal
|
|
Comments
|
|
|
Routine Plan
|
Comments - Plan
|
|
Billing-Suboxone UDS
• • •
|
|
