rock city clinicfiles.nicta.org/courseware/embf/test/q09.pdfnotes right shoulder has resolved....
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Rock City Clinic 41 Medical Plaza Rock City IA 50700
Progress Notes Patient Name: Julian Claimant Date: 9/25/XX DOI: 7/2/XX DOB: 8 ‐17‐XX WT: 156 HT: 67 in BP 100/60 P: 84 Temp: 97.1 Allergies: NKDA Medications: None Comprehensible Body Parts Patient in for follow‐up on right arm, right forarm, and right shoulder injury. Patient states having no pain. S. Follow‐up on MVA. Neck pain resolved but returns occasionally. Pain is now radiating to hands.
Notes right shoulder has resolved. Discuss multiple disk HNP. O. Cervical spine full range of motion, no pain on palpation. Hand grip 5/5 bilateral. Right shoulder full
range of motion, no pain on palpation A. Cervical herniated disks. Right shoulder S/S. P. 1. Refer for evaluation for pain management
2. Discharged from service
E. Harrington Physician, MD Dictated but not proofed
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Weldon Paindoctor, MD, PA 75 Medical Plaza Rock City, IA 50700 Date: 11-3-XX Invoice #2201 To: Insurco Insurco Plaza Des Moines, IA 50300 For: Consultation with Julian Claimant Qty DOS CPT ICD.9 Procedure Price Total1 10-2-XX 99245 M54.16 Initial Consultation 350.00 350.00
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Weldon Paindoctor, MD, PA 75 Medical Plaza Rock City, IA 50700 Date: 10-02-XX Patient: Julian Claimant DOB: 8-17-XX Referring Physician: E. Harrington Physician, MD
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