|
Medical decision making
|
Plan Discussion
|
|
Orders for todays visit
• • •
|
Urine drug confirmation
• • •
|
|
Medication prescribe
• • •
|
Medication prescribed comments
|
|
opioid compliance
|
|
|
PT Recommendations
|
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
• • •
|
|
Initial TESI Orders
• • •
|
Follow up TESI Orders
• • •
|
|
LMBB
• • •
|
Lumbar RF
• • •
|
|
CMBB
• • •
|
Cervical RF
• • •
|
|
TMBB
• • •
|
Thoracic RF
• • •
|
|
TFESI Orders:
• • •
|
Sacroiliac joint injetion
• • •
|
|
Sympathetic Nerve Blocks
|
|
|
Schedule Office Procedure
• • •
|
Office Procedure Comments
|
|
Brace/TM Flow Orders
|
|
|
Brace Order
|
|
|
Follow up orders
|
|
|
Follow up appointment
• • •
|
Follow up appointment comments
|
|
Same Day Office Procedures
|
|
|
Office Procedures Same Day
|
Trigger point Injection:
• • •
|
|
Consent obtained
|
Consent P1
|
|
Trigger point Injection
|
TPI Lumbar spine
|
|
|
TPI Cervical Spine
|
