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Espao Cliente - A Coopus Planos de Sade 2026

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated field labeled 'Nome'. This is essential for identifying the patient.
Fill in the 'HD' and 'Hospital' fields with the relevant information regarding hospitalization details.
Input the 'Data internação' (admission date) and 'Alta' (discharge date) to track the patient's stay.
Complete the checklist under 'Nível de Consciência', marking either 'Normal' or 'Alterado' as appropriate.
Indicate the type of respiration by selecting between options like 'Espontânea', 'Cateter', or 'Máscara'.
For nutrition, choose from options such as 'VO', 'Suplemento', or 'SNE'.
Document elimination status by selecting from options like 'Normal', 'Fralda', or others listed.
Provide notes on any wounds, antibiotics, CPAP usage, physiotherapy, or other observations in the designated section at the end of the form.

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