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OV New patient-01
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OV Established patient-11
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OV New patient-02
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OV Established patient-12
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OV New Patient-03
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OV Established patient-13
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OV New patient-04
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OV Established patient-14
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OV New patient-05
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OV Established patient-15
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Clinical Impression:
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Procedure done:
• • •
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General Instructions
• • •
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General Instruction Comments
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Referrals
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Referral Comments
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Home Health
• • •
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Home health comments
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Education provided to patient
• • •
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Education comments:
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Diet
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Diet Comments
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PT Recommendation Comments
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Injection Given?
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Expiration date details
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Med administered by:
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Location given:
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Medication Lot details
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Med: Ceftriaxone 1g
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Med: Benadryl 50mg
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Med: Ceftriaxone 500mg
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Med: Depo-medrol 40mg
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Med: Dexamethasone 4mg
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Med: Epinephrine 1:1000
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Med: Lincocin 600mg
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Med: Phenergan 25mg
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Med: Triamcinolone 40mg
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Med: Phenergan 50mg
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Vaccination: Flu Vaccine
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Med: Toradol 60mg
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Norflex 60mg
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PPD
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Vaccination: Tetanus
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Albuterol SVN
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XR Abdomen
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XR Ankle
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XR Chest
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XR Clavicle
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XR C-Spine
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XR Elbow
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XR Femur
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XR Fingers
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XR Foot
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XR Forearm
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XR Hand
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XR Hip
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XR Humerus
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XR Knee
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XR L-Spine
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XR Pelvis
|
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XR Ribs
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XR Ribs/Chest
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XR SacrumCoccyx
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XR Shoulder 2 view
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XR Shoulder 3 view
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XR Tibia/Fibula
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XR Toes
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XR T-spine
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XR Waters sinus
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XR Wrist
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Lab: Allergen Specific IgE
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Lab: Amylase
|
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Lab: ANA
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Lab: ASO titer
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Lab: Breath Alcohol Testing
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Lab: Bartonella IgG/IgM
|
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Lab: BMP
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Lab: CBC
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Lab: C-Diff Toxin
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Lab: CMP
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Lab: Fecal Leukocytes
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Lab: Flu A&B
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Lab: GC/Chlamydia
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Hepatitis Panel
|
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Lab: HIV
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Lab: Herpes Culture
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Lab: Monospot
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Lab: Lipid Profile
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Lab: Ova/Parasites
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Lab: Occult Blood Stool
|
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Lab: Rapid Strep
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Lab: PT/INR
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Lab: Rheumatoid Factor
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Lab: Retic Count
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Lab: RSV
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Lab: RPR
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Lab: Stool Culture
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Lab: Sed Rate
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Lab: Total Bilirubin
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Lab: TSH
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Lab: Urine Culture
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Lab: Urinalysis
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Lab: Vaginal Culture
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Lab: Urine HCG
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Lab: Wound Culture
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Procedure: Burn Debridement
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Procedure: Burn Treatment
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Procedure: Cerumen Impaction
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Procedure: Complete Nail Removal
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Procedure: Foreign Body Eye Exam
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Procedure: I&D Abscess
|
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Procedure: Ingrown nail, partial
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Procedure: 1 layer Wound Facial
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Procedure: Nail Trephinaton
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Procedure: Neb treatment
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Procedure: Simple Repair, Lac.
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Procedure: Wound Debridement
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Procedure: Wedge Excision of Nai
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Procedure: Superficial Wound Rep
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Application of Finger Splint
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Mole Removal 1.1cm to 2.0cm
|
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Application of Long Leg Splint
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Mole Removal >2.0cm
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Application of Long Arm Splint
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