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Fòm Lòd Swen Lajounen Medikal
Pou founisè kominotè ki pa sou sistèm Epic la.
Mèsi dèske w chwazi Swen Lajounen Medikal Cooley Dickinson pou pasyan w lan. Lè w ap voye lòd pasyan yo, tanpri chwazi, telechaje, enprime epi faksye fòm lòd ki pi apwopriye a nan dosye ki anba yo.
Lè w ap ranpli yon fòm lòd, tanpri:
- Ranpli tout fòm nan, enkli siyati ou ak nenpòt kesyon sou nesesite medikal la.
- Sonje pou w bay lòd pou medikaman prensipal la, ansanm ak nenpòt medikaman pre oswa ijans ki asosye yo.
Lè w ap faksye fòm lòd yo:
-
Faksye bay Sant Planifikasyon Cooley Dickinson nan 413-582-2183, tout sa ki annapre yo:
- Fòm lòd ki ranpli a
- H&P aktyèl pasyan an
- Yon lis medikaman ak alèji aktyèl pasyan an
- Nenpòt konsantman ki siyen ki ta ka nesesè pou tretman an
Si w gen nenpòt kesyon, tanpri kontakte depatman Cooley Dickinson ki pi byen koresponn ak demann ou a:
- Sant Planifikasyon: 413-582-5000
- Swen Lajounen Medikal: 413-582-2920
- Famasi: 413-582-2116
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Piki ak terapi IV
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Medical infusion therapy plan (to be used when specific medication therapy plan being ordered is not available)
Enfizyon (“plan terapi”)
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