Patient:
aaa, bbb
- MR#
7776
Chart: 30 Episode: 3 Patient Care Assistant: FAMILY |
02/13/2024 -
04/12/2024
Home Health 60-Day Episode |
Problems: |
02/13/2024 -
03/13/2024
30-Day Service Period |
Gamaliel Digan
Assessor |
(M0030) Start of Care Date:
10/16/2023
(M1030) Therapies the patient receives at home: (Mark all that apply.)
(M1033) Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization? (Mark all that apply.)
(M1200) Vision (with corrective lenses if the patient usually wears them):
(M1242) Frequency of Pain Interfering with patient's activity or movement:
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Home Health Certification and Plan of Care |
02/13/2024
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Skilled Nursing |
Gamaliel Digan Case Manager Added by: Arnold 03/26/24 03:59 PM Lillian West Added by: Arnold 03/26/24 04:00 PM Judith Regan Added by: Arnold 04/02/24 01:41 PM Alexis Vinson Case Manager Added by: Arnold 04/02/24 01:43 PM |
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Primary Care Physician | No Selected Physician |
Reported to: Arnold 03/26/2024 |
Printed By/Date/Time:
07/06/2025 07:19 PM
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