VIVITROL INJECTION ORDERS - Paragon Healthcare 2026

1. Click ‘Get Form’ to open the VIVITROL INJECTION ORDERS in the editor.
2. Begin by entering the patient’s name and allergies in the designated fields. Ensure accuracy for effective treatment.
3. Fill in the date of birth and patient phone number to maintain updated contact information.
4. Specify the J Code (J2315) and select the appropriate diagnosis ICD-9 code from the options provided, ensuring it aligns with clinical notes.
5. Indicate where required labs will be drawn by selecting either 'Infusion Clinic' or 'Referring Physician'.
6. Complete the VIVITROL orders section by specifying the dose (380mg IM) and number of doses or duration (12 months).
7. Enter physician details including name, phone, and fax numbers. Ensure these are current for seamless communication.
8. Finally, have the physician sign and date the form before checking an Infusion Center location that is convenient for your patient.

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