CARING NURSES, INC.
ROC Verbal Orders for Modification or Revision of Plan of Care Post Hospitalization
Patient Chart
Patient: STORY, JOYCE - 900002325
Chart: 1 Episode: 40
Form Date: 08/29/2024
2968 E. RUSSELL ROAD
LAS VEGAS, NV 89120
Phone: 702-791-3729
Fax: 702-791-3859
Patient PHONE#: (702) 280-6384
ADDRESS: 9806 GUIDING LIGHT AVE City: Las Vegas State: NV Zip Code: 89149
Physician Name: DR. SHILPA THAKER, MD Fax #: NPI #: 1609991959

HOSPITAL ADMISSION DX/SYMPTOMS:

ADDITIONAL OR NEW DIAGNOSIS FOR HHC:

SURGICAL TREATMENT AND DATE

NEW ORDERS/MEDICATIONS

I. TREATMENT:

II. MEDICATIONS:

III. DIET:

IV. SERVICES:

CURRENT CERTIFICATION PERIOD: FROM 07/10/2024 TO 09/07/2024
Physician Signature: Date:
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