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Get MedStar Health Face-to-Face Progress Note And Home Health Orders 2017-2024

On and orders must be signed and dated by attending physicians. The Home Health Orders portion of the form for resumption of care or an update to the initial certification can be completed by any provider. Patient name: Patient DOB: / / Month Day Year Anticipated date of discharge: (applies only to hospital or facility) Attending physician expected to follow patient: (first and last name) Attending physician phone number: Face-to-Face Encounter occurred on: /.

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