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Treatment Orders
Wound Orders
Generic Substitutes Permitted
Wound Care Goals
• • •
Wound Care Goals Comment
Dressing Change Frequency
• • •
HH to See Patient on
• • •
Innovation Medical to See Patient on
• • •
Next Innovation Appointment Date
Graft Instructions
• • •
Graft Instructions Comment
UltraMIST ordered?
UltraMIST Comment
UltraMist Order
Medical Equipment Order
• • •
Medical Equipment Order Comment
Lab Order
• • •
Lab Order Collection
Radiology Order
• • •
Radiology Order Comment
Referral
• • •
Referral Comment
Additional Treatment Comments

IMG Orders Medical Form

Nurse Practitioner

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Published: Aug. 7, 2023, 4:39 p.m.
Doctor: Dr. History Physical
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