Epstein Secrets

ITE Provider: r b)(6); (b){?)(C) I Dental Asst Reg#: Facility: Unit: 76318-054 NYM 205 Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to the dental clinic. Cosign Required: No Completed b~""(b.,.,, >(5,.,... >: .,,.., (b>""' (7,..,.,)(c,.,...)--

ronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Frequency One Time Details Frequency End Date General Radiology-Chest-2 Views One Time Specific reason(s) for request (Complaints and findings): Reg#: D Facility: Unit: Due Date 08/05/2019 00:00 Due Pate 07/25/2019 00

WHITE Provider: r b)(G); (b)(7)(C) p ental Asst Reg#: Facility: Unit: 76318-054 NYM Z05 Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to the dental clinic. Cosign Required: No Completed b~~bl_r5_u _b)C-7J_cc_> --~ !Dental Asst on 07/19/2019 13:4

New Radiology Request Orders: Frequency One Time Details Frequency End Date Due Date 08/05/2019 00:00 Due Date 07/25/2019 00:00 Due Date General Radiology-Chest-2 Views One Time 07/25/2019 Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. Copay Requ

WHITE Provider: rb)(6); (b)(7)(C) I Dental Asst Reg#: Facility: Unit: 76318-054 NYM Z05 Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to the dental clinic. Cosign Required: No Completed by~~b~)(6~);=(b~)(7=)(~C)-~IDental Asst on 07/19/2019 13:49

rders: Frequency One Time Details Frequency End Date Reg#: Facility: Unit: Due Date 08/05/2019 00:00 Due Date 07/25/2019 00:00 Due Date General Radiology-Chest-2 Views One Time 07/25/2019 Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. Copay Requ

Unit: 76318-054 NYM ZO5 Screening encounter at Dental Clinic. Reason Not Done: Unavailable Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to the dental clinic. Cosign Required: No Completed by Dental Asst on 07/19/2019 13:49. Generated 07/19/20191

PR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Frequency End aak Due Pate Edo* General Radiology-Chest-2 Views One Time 07/25/2019 Ftouline Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX REFERRED FOR ROUITNE CXR. Co