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Medical decision making
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Plan Discussion
|
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Orders for todays visit
• • •
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Urine drug confirmation
• • •
|
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Medication prescribe
• • •
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Medication prescribed comments
|
|
opioid compliance
|
|
|
PT Recommendations
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Home Exercise Program
|
|
completed PT
|
completed HEP
|
|
completed Chiropractic
|
Education
|
|
Referrals:
• • •
|
Referral Comments
|
|
Radiology Orders
|
|
|
Xray Orders
• • •
|
MRI/CT orders
• • •
|
|
Procedures Orders
|
|
|
Initial LESI Orders
• • •
|
Followup LESI orders
• • •
|
|
Initial CESI Orders
• • •
|
Follow up CESI orders
• • •
|
|
LMBB
• • •
|
Lumbar RFA
|
|
CMBB
• • •
|
Cervical RFA
|
|
TFESI Orders:
• • •
|
Sacroiliac joint injetion
• • •
|
|
Sympathetic Nerve Blocks
|
|
|
Office Procedure
• • •
|
Office Procedure Comments
|
|
Brace/TM Flow Orders
|
|
|
Back Brace Order
|
TM Flow Orders
• • •
|
|
Follow up orders
|
|
|
Follow up appointment
• • •
|
Follow up appointment comments
|
|
Same Day Office Procedures
|
|
|
Office Procedures Same Day
|
|
|
Consent obtained
|
|
|
Trigger point Injection
|
Trigger point Injection:
• • •
|
|
Consent P1
|
TPI Lumbar spine
|
|
|
TPI Cervical Spine
|
|
Knee joint injection
|
|
|
Knee joint Injection UL
• • •
|
Knee joint Injection BL
• • •
|
|
Consent P1
|
Consent knee
|
|
Subacromial injection
|
|
|
Subacromial Bursa U/L
• • •
|
Subacromial Bursa B/L
• • •
|
|
Consent P1
|
Subacromial
|
|
Occipital Nerve Block
|
|
|
Occipital Nerve block U/L
• • •
|
Occipital Nerve block B/L
• • •
|
|
Consent P1
|
Occipital Consent
|
