|
Tx Frequency
|
Tx Duration
|
|
Acu Tx (1)
|
Moxa Tx (1)
|
|
Add. modalities (1)
• • •
|
Add. Modalities Comments (1)
|
|
Acu Tx (2)
|
Moxa Tx (2)
|
|
Add. Mods (2)
• • •
|
Add. Mods. Comments (2):
|
|
Herbal Formula (1)
|
Herbal Preparation Type: (1)
|
|
Herb Dosage (1)
|
Herb Comments (1)
|
|
Herbal Formula (2)
|
Herbal Preparation Type (2)
|
|
Herb Dosage (2)
|
Herb Comments (2)
|
|
|
|
|
Education
|
Education Comments
|
|
Diet
|
Exercise
|
|
Add. Recommendations
|
|
|
Referrals
|
Referral Comments
|
|
Treatment Plan Consent
|
|
