Suggested File Name: admitime
Suggested File Description: Time Miscellaneous Administrative
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= spent ____ minutes with greater than 50% time face to face with patient and discussed diagnostics and therapeutic recommendations.
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Suggested File Name:
Suggested File Description:
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Suggested File Name: admisignature
Suggested File Description: Signature Miscellaneous Administrative
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NAME MD
____ Health Center
On call physician: ____
Appointment Line: ____
Fax: ____
Pager: ____
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