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#: (213) 448-7720
ADDRESS: 3265 W LAKE MEAD BLVD City: N LAS VEGAS State: NV Zip Code: 89030
Physician Name: STANLEY KIDIAVAYI, APRN Fax #: NPI #: 1902290968

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 08/14/2024 TO 10/12/2024
Physician Signature: Date: