-
Name:
first_name.' '.$modalPatient->last_name?>
-
Birth:
dob?>
-
Email:
patient_email?>
- Gender : gender?>
- Merital : marital_stat?>
- Weight : weight?>
- Direction : direction?>
- #Soc Sec No : soc_sec_no?>
-
Address:
address?>
- Height : height?>
Patients Info
- Level of Care : level_of_care?>
- Designate First Name designate_first_name?>
- EVV Verification evv_verification?>
- Coardinator coordinator?>
- Primary Nurse primary_nurse?>
- Designate Last Name designate_last_name?>
- Designate Telephone designate_telephone?>
- Designate Cell designate_last_name?>
- Intake Nurse intake_nurse?>
- Referal Source referral_source?>
Care Info
- Level of Service Needlevel_service?>
- New Ordernew_order?>
- Service Activity Neededservice_activity?>
- Therapy Typetherapy_type?>
- Type Of Accesstype_access?>
- Patient Seen By Mdpatient_seen_by_MD?>
- Current Lab Workcurrent_lab_work?>
- Lab Orderlab_order ?>
- Additional Lab Orderother_lab_frequency?>
- Lab Frequencylab_frequency?>
- Other Lab Frequencyother_lab_frequency?>
- Tubetube_type?>
- Formulaformula?>
- Scheduleschedule?>
- Flush Withflush_with?>
- Daily Intake Requirmentdaily_intake_requirment?>
- Flush Frequencyflush_frequency?>
- Flush Restrictionsreferral_source?>
- Flush Restriction Amountfluide_restric_amount?>
Assessment History
| Assessment type |
Date |
Day |
Actions |
| Initial Assessment |
date; ?> |
day; ?>
|
|