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Procedure performed today?
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IV Therapy Treatment
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IV magnesium with supportive nutrients for treatment of
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IV Therapy or IV MAH
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IV Therapy or IV MAH
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Add On
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Add on volume in mL
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Add On
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Add on volume in mL
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Add On
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Add on volume in mL
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Add On
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Add on volume in mL
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Ozone Concentration:
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Ozone Volume:
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Amount of blood drawn
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Glutathione push dose
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DMPS Push
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EDTA Push
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Location
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Area cleaned with
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IV Catheter
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Attempts
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Secured using clear occlusive dsg/tape
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IV patent, flushing w/o resistance
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Patient Tolerated Infusion Well
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Patient provided with after care
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Additional Notes
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Recommended IV Treatment Plan:
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Recommended IM B12 Treatment Plan
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Care Plan
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Spent time with patient.
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Reviewed pt intake forms.
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Discussed IV therapy.
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Discussed naturopathic medicine.
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Discussed IM B12 shots.
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Discussed TCM and acupuncture.
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Discussed IFR sauna.
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Discussed PEMF/ Bemer
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BHRT Counseling.
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Discussed prolozone.
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Discussed IV MAH/ Ozone.
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Reviewed labs.
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Ordered labs
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Referrals
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Radiology
• • •
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Diet and lifestyle counseling.
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Specialty Labs
• • •
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Reviewed specialty lab results.
• • •
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Gave pt testkit.
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Recommended supplements.
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Additional Info
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Discussed Supplements.
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Patient left in stable condition.
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Patient responded well to treatment.
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Future Plan
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Seen by provider
• • •
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Patient Instructions
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