CARING NURSES, INC.
ROC Verbal Orders for Modification or Revision of Plan of Care Post Hospitalization
Patient Chart
Patient: MUHAMMAD, WALI - 900008897
Chart: 3 Episode: 2
Form Date: 09/02/2024
2968 E. RUSSELL ROAD
LAS VEGAS, NV 89120
Phone: 702-791-3729
Fax: 702-791-3859
Patient PHONE#:
ADDRESS: City: State: Zip Code:
Physician Name:


ADDITIONAL OR NEW DIAGNOSIS FOR HHC:

SURGICAL TREATMENT AND DATE

NEW ORDERS/MEDICATIONS





CURRENT CERTIFICATION PERIOD: FROM 08/14/2024 TO 10/12/2024
Physician Signature: Date:



Status:
Pending