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Labs
• • •
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Lab Comments
|
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Radiology
• • •
|
Radiology Comments
|
|
Fyzical Referral
|
|
|
Referrals
|
Referral Comments
|
|
General Instructions
• • •
|
General Instruction Comments
|
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LPR Diet & Precautions
• • •
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LPR famotidine wean
• • •
|
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Follow up in _____ ***REQUIRED
|
days/weeks/months
• • •
|
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Additional Follow-Up Options
• • •
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Brandt-Daroff Exercises
|
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Time Spent (99215)
|
Time Spent (99214)
|
