Professional Services Worksheet - DIGITAL FORM
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Clinicians may use this form for the initial organization of the patient’s specific care needs, when developing the individualized plan of care at recertification or follow up.
Use this form to address the following areas.
• Visit frequency and duration for the multidisciplined team
• Medication
• Respiratory
• Integumentary
• Elimination
• Gastrointestinal
• Diabetes
• Laboratory
• Identify short and long term goals
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