CARING NURSES, INC.
ROC Verbal Orders for Modification or Revision of Plan of Care Post Hospitalization
Patient Chart
Patient: SULANKE, GLENNA - 900005485
Chart: 2 Episode: 8
Form Date: 09/09/2024
2968 E. RUSSELL ROAD
LAS VEGAS, NV 89120
Phone: 702-791-3729
Fax: 702-791-3859
Patient PHONE#: (702) 743-6988
ADDRESS: 4523 OLD CANYON CT City: North Las Vegas State: NV Zip Code: 89081
Physician Name: DR ANURADHA THUMMALA, MD Fax #: NPI #: 1376552745

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 07/19/2024 TO 09/16/2024
Physician Signature: Date: