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Header
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Telemedicine Consent
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Right Eye Changes
• • •
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Left Eye Changes
• • •
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Free Text
|
|
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Overall Changes
• • •
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Diabetic Control
|
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Accompanied
• • •
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Enrolled in a Hospice, Skilled Nursing Facility, or Inpatient Rehab
|
|
|
|
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Referral Note Recieved
|
Outside Notes
|
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Imaging Reviewed
|
Third Party History
|
|
Current Meds
|
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