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Recent Labs
CBC w/ Diff:
CMP:
TSH, FT3, FT4:
A1c
Lipids: (note fasting or non-fasting)
VDOH:
Prolactin:
B Vitamins: (Note which ones)
Iron Studies:
Lithium Level:
Transferrin:
Clozapine Level:
Paliperidone Level:
UDS:
Pharmacogenetic Testing:
Other:
Imaging
EKG:
MRI or CT of Brain:
EEG:
Other:

Clinical Monitoring Medical Form

Psychiatric Nurse Practitioner

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