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Abdominal aortic aneurysm / Prostate cancer screening / Diabetes mellitus / Chronic kidney disease / Medicare / Aortic aneurysm / Prostate cancer / Mammography / General medical examination / Medicine / Cancer screening / Vascular surgery


MEDICARE INITIAL PREVENTIVE PHYSICAL EXAMINATION ENCOUNTER FORM Patient’s name: Date of birth: Medical record #:
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Document Date: 2014-02-20 15:39:18


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File Size: 483,89 KB

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City

Previous / /

IndustryTerm

transportation / preventive services / therapy for diabetes / /

MedicalCondition

Glaucoma / Injury / Hypertension / Obesity / estrogen deficiency / Abdominal aortic aneurysm / Colorectal cancer / osteoporosis / renal disease / End-stage renal disease / Prostate cancer / depression / illness Date Drug allergies / Dyslipidemia / Influenza / hemophilia / Diabetes / injuries / gestational diabetes / Hepatitis B / /

MedicalTreatment

Counseling / Medical nutrition therapy / self-management / enema / /

Organization

American Academy / MEDICARE / /

Person

Cindy Hughes / Randall O. Card / /

Position

physician / treating physician for patient with diabetes or renal disease / /

URL

http /

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