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1st Procedure
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1st set points
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2nd Procedure
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2nd set points
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3rd Procedure
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3rd set points
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Infrared Heat?
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Region?
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Procedure Notes
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How long (minutes)?
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Complaint during treatment?
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Initial or Re-Exam?
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How many needles?
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Care Plan #1
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Care Plan #2
• • •
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Care Plan #3
• • •
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TCM Treatment(s)
• • •
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General Instructions
• • •
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General Instruction Comments
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Education
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Education Comments
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Referrals
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Referral Comments
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