Blank physician order sheet 2026

1. Click ‘Get Form’ to open the blank physician order sheet in the editor.
2. Begin by entering the patient's MRN, weight, and height in the designated fields at the top of the form.
3. Assess the Total Venous Thromboembolism Risk Score and select the appropriate risk category (Low, Moderate, High) based on your evaluation.
4. Choose one pharmacologic option for prophylaxis from the provided list. Ensure to check any contraindications if applicable.
5. If mechanical options are needed, select either Intermittent Pneumatic Compressions or Elastic Stockings as indicated.
6. For treatment of DVT/PE, fill in the required dosing information based on patient weight and renal function.
7. Complete any additional indications and sign off with your MD signature along with date and time before finalizing.

Start using our platform today to streamline your document editing and ensure efficient completion of your physician order sheets!