Diabetic Foot Exam Form

Diabetic Foot Exam Form - Additional question (s) or concern(s): Here for diabetic foot evaluation and counseling. Cpt code (2028f, g0245, g0246, g9226) Comprehensive diabetes foot examination form adapted from the national diabetes education program’s foot screening form i. Comprehensive (visual, sensory, pulse) diabe c foot exam. Please mail/fax this back to us with the attached certifying physician's statement and keep a copy of both forms in the patient’s chart. Diabetic foot examination chief complaint:

Comprehensive diabetes foot examination form adapted from the national diabetes education program’s foot screening form i. Here for diabetic foot evaluation and counseling. Cpt code (2028f, g0245, g0246, g9226) Diabetic foot examination chief complaint: Comprehensive (visual, sensory, pulse) diabe c foot exam. Please mail/fax this back to us with the attached certifying physician's statement and keep a copy of both forms in the patient’s chart. Additional question (s) or concern(s):

Additional question (s) or concern(s): Comprehensive diabetes foot examination form adapted from the national diabetes education program’s foot screening form i. Here for diabetic foot evaluation and counseling. Diabetic foot examination chief complaint: Comprehensive (visual, sensory, pulse) diabe c foot exam. Cpt code (2028f, g0245, g0246, g9226) Please mail/fax this back to us with the attached certifying physician's statement and keep a copy of both forms in the patient’s chart.

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Here For Diabetic Foot Evaluation And Counseling.

Comprehensive diabetes foot examination form adapted from the national diabetes education program’s foot screening form i. Please mail/fax this back to us with the attached certifying physician's statement and keep a copy of both forms in the patient’s chart. Cpt code (2028f, g0245, g0246, g9226) Comprehensive (visual, sensory, pulse) diabe c foot exam.

Additional Question (S) Or Concern(S):

Diabetic foot examination chief complaint:

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