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[DOCX File]Template Protocols - California
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pregnancy test counseling form, initial combined assessment form or progress note. Document subsequent. orientation services . in a progress note titled “CPSP Orientation.” Each entry must include the name and title of the practitioner, date and minutes spent. Record all orientation services on the
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[DOCX File]Critical Access Hospital Medicare Survey Preparation
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Pregnancy test. Primary culturing for transmittal to a certified laboratory. Be prepared to provide surveyors the following documentation regarding laboratory services: CAH CLIA waiver. All reference lab CLIA waivers. ... 201-3843 or toll free in Minnesota at (800) 366-5424.
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[DOCX File]Contraception - University of Washington
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Obtain pregnancy test prior to prescribing (insufficient data on embryotoxicity) Do not use a progesterone-containing contraceptive method for 5 days after taking Ella (decreases efficacy of Ella) Can get prescription online at
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[DOC File]Maternity Services Satisfaction Survey Questionnaire
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Did you pay for any of the following services in relation to your pregnancy? (Please tick as many as apply) A visit to your Doctor or a Family Planning Clinic for a pregnancy test 1. Other visits to your Doctor about your pregnancy 2. Ultrasound scan(s) 3. Antenatal classes 4. Obstetrician or Specialist visits 5. Midwife services 6. Other ...
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[DOC File]ACP Online
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ADULT PROGRESS NOTE Date of Birth: _____ Date: _____ Medical Record Number: _____ ( New ( Return ( Periodic ( Chart Not Available ( Interval ED Visit ( Interval Admission
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