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In-Home Postpartum Assessment Forms
What should be completed at the appointment? Conduct a postpartum visit with mom within 21 to 56 days ($130). Complete the Postpartum Assessment Form for
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gynecology case write-up evaluation form
Patient introduction includes presence/absence of conditions directly relevant to the assessment, and reason for presentation; identifies history source.
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ENCOUNTER FORM
CPSP - Encounter Form 1/98. NAME. ID#. CPSP. ENCOUNTER FORM. PCP. Obstetrics/Gynecology. PCP PHONE #. GROUP. Provider Name: COPAYS. Provider Number: LMP: Qty.
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