CARING NURSES, INC.
ROC Verbal Orders for Modification or Revision of Plan of Care Post Hospitalization
Patient Chart
Patient: JERKINS, KENNETH - 900007785
Chart: 1 Episode: 1
Form Date: 03/19/2023
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 02/28/2023 TO 04/28/2023
Physician Signature: Date:



Status:
Pending