Diabetic Foot Exam Form

Diabetic Foot Exam Form - Cpt code (2028f, g0245, g0246, g9226) Here for diabetic foot evaluation and counseling. Please mail/fax this back to us with the attached certifying physician's statement and keep a copy of both forms in the patient’s chart. Additional question (s) or concern(s): Comprehensive (visual, sensory, pulse) diabe c foot exam. Comprehensive diabetes foot examination form adapted from the national diabetes education program’s foot screening form i. Diabetic foot examination chief complaint:

Please mail/fax this back to us with the attached certifying physician's statement and keep a copy of both forms in the patient’s chart. Comprehensive diabetes foot examination form adapted from the national diabetes education program’s foot screening form i. Cpt code (2028f, g0245, g0246, g9226) Here for diabetic foot evaluation and counseling. Additional question (s) or concern(s): Comprehensive (visual, sensory, pulse) diabe c foot exam. Diabetic foot examination chief complaint:

Cpt code (2028f, g0245, g0246, g9226) Here for diabetic foot evaluation and counseling. Diabetic foot examination chief complaint: Please mail/fax this back to us with the attached certifying physician's statement and keep a copy of both forms in the patient’s chart. Additional question (s) or concern(s): Comprehensive (visual, sensory, pulse) diabe c foot exam. Comprehensive diabetes foot examination form adapted from the national diabetes education program’s foot screening form i.

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Additional Question (S) Or Concern(S):

Please mail/fax this back to us with the attached certifying physician's statement and keep a copy of both forms in the patient’s chart. Here for diabetic foot evaluation and counseling. Comprehensive diabetes foot examination form adapted from the national diabetes education program’s foot screening form i. Comprehensive (visual, sensory, pulse) diabe c foot exam.

Cpt Code (2028F, G0245, G0246, G9226)

Diabetic foot examination chief complaint:

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