B12 Injection
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B12 Location
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Cupping Location
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Cupping Start Time
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Cupping Duration (min's.)
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TDP Location
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TDP Start Time
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TDP Duration (min's.)
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Trigger Point Injectables
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Trigger Point Quantity
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Trigger Point Muscle Groups
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Cosmetic Injectables
• • •
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Condition Improvement
• • •
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Cosmetic Injection Location
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Cosmetic Injection Purpose
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Massage Location
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Massage Start Time
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Massage Duration (min's.)
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Exercise Start Time
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Exercise Duration (min's.)
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Exercise
• • •
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Additional Recommendations
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Labs
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Lab Comments
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Radiology
• • •
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Radiology Comments
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PT Recommendations
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PT Recommendation Comments
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Home Health
• • •
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Home health comments
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Referrals
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Referral Comments
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Education
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Education Comments
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Diet
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Diet Comments
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General Instructions
• • •
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General Instruction Comments
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Time Inserted/Minutes Retained
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