Search Results for: Glucose syrup not containing colouring matter
license # telephone no. ( ) address: street city state zip code if the examination was conducted by a physician's assistant, specialist's assistant, or nurse practitioner, identify: name profession: license # place of examination: date of examination: . medical findings note: indicate n/a if an item does not
modified diet or has other special nutritional or dietary needs, describe: please indicate any task, treatments or therapies currently received, or required by the patient: does the patient require assistance with, or provision of, skilled tasks (e.g. monitoring of vital signs, dressing changes, glucose...
https://www.health.ny.gov/health_care/medicaid/publications/docs/gis/10oltc-006att.pdf