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Labs
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Labs
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Facility
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Labs
• • •
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Comments
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Imaging Orders
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Imaging
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X-Ray
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Side
|
X-Ray Exam
• • •
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Imaging Facility
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X-Ray Comments
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MRI
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Side
|
Exam
• • •
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Imaging Facility
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MRI Comments
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CT
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Side
|
CT Exam
• • •
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Imaging Facility
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Comments
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Myelogram
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|
Exam
• • •
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Comments
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Imaging Facility
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Discogram
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|
Exam
• • •
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Comments
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Imaging Facility
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Bone Scan
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|
Exam
• • •
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Comments
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Imaging Facility
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Referral Orders
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Referral
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Orthopedic Surgeon
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Shoulder
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Provider
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Reason for Referral
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URGENT
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Elbow
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Provider
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Reason for Referral
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URGENT
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Wrist
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Provider
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Reason for Referral
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|
URGENT
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Hand
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Provider
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Reason for Referral
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URGENT
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Hip
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|
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Provider
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Reason for Referral
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|
URGENT
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Knee
|
|
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Provider
|
Reason for Referral
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URGENT
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Foot/Ankle
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|
|
Provider
|
Reason for Referral
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|
|
URGENT
|
|
Rheumatologist
|
|
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Provider
|
Reason for Referral
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|
Neurologist
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|
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Provider
|
Reason for Referral
|
|
|
URGENT
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Neurosurgeon
|
|
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Provider
|
Reason for Referral
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|
|
URGENT
|
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Pain Psychologist
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|
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Provider
|
Reason for Referral
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|
URGENT
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Physical Therapy
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|
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Provider
|
|
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PT Recommendations
|
Comments
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|
Home Health
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|
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Facility
|
|
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Services
• • •
|
Comments
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|
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URGENT
|
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Chiropractor
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|
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Provider
|
Comments
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Acupuncture
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|
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Facility
|
Specialist
|
|
Sessions
• • •
|
Comments
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|
Palliative Care
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|
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Facility
|
Comments
|
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Dietitian / Nutritionist
|
|
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Provider
|
Comments
|
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Other
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|
|
Comments
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|
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Instructions
|
|
|
Instructions
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|
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General Instructions
• • •
|
Comments
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|
Diet
|
Diet Comments
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|
Psychological Evaluation
|
|
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Comments
|
URGENT
|
|
Plan comments
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