Patient has signed treatment consent for AWT
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Treatment Area(s)
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Treatment Number Area #1
/
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Treatment Number Area #2
/
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Treatment Tips Used
• • •
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Pulses Delivered:
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Bar:
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Hz:
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V-Actor Applied?
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If yes, how many pulses?
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New Free Draw
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Patient Tolerated Treatment Well?
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Areas of senstivity:
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Additional Notes:
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