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Diagnosis 1
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Diagnosis 2
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Diagnosis 3
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Diagnosis 4
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Diagnosis 5
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Scheduled Treatment
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Scheduled Treatment Free Write
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Scheduled/Performed Testing
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Other testing
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Follow Up: #
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Follow Up: time frame
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f/u for...
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for: freewrite
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freewrite
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Follow up Freewrite Notes
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Refer to...
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Referring Doctor
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New Short Text Field
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Telemedicine?
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15-20 minutes
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