|
Radiology
• • •
|
Radiology Comments
|
|
PT
• • •
|
Location of therapy
• • •
|
|
Manipulation
• • •
|
|
|
Test Work
• • •
|
Medication as prescribed
|
|
Home Health
• • •
|
Home health comments
|
|
Referrals
|
Referral Comments
|
|
General Instructions
• • •
|
General Instruction Comments
|
|
Manipulation 1-2
|
manipulation 3-4
|
|
interferrential
|
hot/cold
|
|
intersegmental tract
|
manual tract
|
|
ultrasound
|
massage
|
|
Limited OV
|
Expanded OV
|
|
Detailed OV
|
Comp OV
|
