|
MIPS (Once per period)
|
|
|
Advanced Directive
|
|
|
Patient is not Diabetic.
|
|
|
Diabetes-Neuro Evaluation
|
|
|
DM-Ulcer & Shoes
|
DM Shoe Size
• • •
|
|
|
|
|
BMI performed by:
|
BMI Results
|
|
BMI Table
|
|
|
|
BMI reasons for No F/u
|
|
Tobacco Use
|
|
