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Reason for visit
|
Week:
|
|
Medication dose:
|
Reports GI Upset?
• • •
|
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Comments/Other concerns
|
|
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Current weight:
|
|
|
|
|
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New educations given:
• • •
|
Re-educations given:
• • •
|
|
Miscellaneous education/re-education:
|
Notes
|
|
|
|
|
Altered lab results:
|
Care plan:
• • •
|
|
Care plan notes:
|
Assement for treatment
|
|
Assesment notes:
|
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