IR Notes

  • Index
  • Phones
  • Forms
  • What We Do
  • Clinic Protocols
  • Pre-procedure Instructions   -    Word
  • Initial Consult form
  • Follow up consult form
  • Fibroid consult form
  • Physical therapy referral
  • Compression stocking referral
  • CPT codes for clinic procedures
  • Satisfaction Survey
  • Clinic meetings
  • Interesting cases
  • Labels for office folder
  • Drainage chart printable
  • Referral form - to other hospital
  • VASCULAR LAB - ORDERS
  • Referral to Rotacare
  • Bowel Prep= MoviPrep as directed
  • Excuse for work
  • Cook Fenestrated Stent graft measuring sheet (ZFEN)
  • Fitting for brace: NOREL PROSTETICS - 205 South Drive, Mountain View, CA 94040 | 650.968.7464
  • Marketing letters

fabiokomlos@gmail.com for suggestions