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Medication Changes:
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Med Change Comments
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New Medication Rationale
• • •
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Continue Medication Rationale
• • •
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Taper Medication Rationale
• • •
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Labs
• • •
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Lab Comments
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Lithium Labs
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ATN Labs
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Labs for anticonvulsants
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Routine labs
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Referrals
• • •
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Referral Comments
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Follow-Up
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Release of information
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Read
• • •
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General Instructions
• • •
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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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