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Home Health Nurse Visit Documents

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Nurse Admit Packet

This file contains the necessary admission paperwork for home health infusion visits. Includes the following: Nurse Admit Record, MAR and Plan of Treatment.

Follow-Up Nurse Visit Note

This file contains the paperwork for follow-up nursing visits after admission.

Lab Reference Guide

This handy guide will help you determine which tube color is required for each test according to each lab site.

Scripps Lab Slip

This file contains a blank Scripps lab requisition slip needed for follow-up visits of Scripps patients.

Discharge Summary

This file includes the Discharge Summary note for DC Visits. This paperwork is required in addition to the Follow-Up Nurse Visit Note.

COVID Screening Tool

Use this tool for screening your patients for COVID when arranging home visits

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