CARING NURSES, INC.
ROC Verbal Orders for Modification or Revision of Plan of Care Post Hospitalization
Patient Chart
Patient: HAMILTON, JUDY - 900006786
Chart: 3 Episode: 1
Form Date: 09/02/2024
2968 E. RUSSELL ROAD
LAS VEGAS, NV 89120
Phone: 702-791-3729
Fax: 702-791-3859
Patient PHONE#: (702) 575-1580
ADDRESS: 5028 TWIST CIR City: NORTH LAS VEGAS State: NV Zip Code: 89031
Physician Name: BRENDA SIMMONS, NP Fax #: NPI #: 1285814954

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 08/25/2024 TO 10/23/2024
Physician Signature: Date:
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