Patient Name (Edit if different to Client Name) | Encrypted Field Restricted Encrypted Field Restricted |
---|---|
Client Name | Encrypted Field Restricted Encrypted Field Restricted |
Appointment Number | 470775 |
Pre-microsuction Otoscopy | |
Left Ear | Encrypted Field Restricted |
Date of treatment | // |
Right Ear | Encrypted Field Restricted |
Right Ear Issues |
|
Right Other issue - please describe | Encrypted Field Restricted |
Microsuction Procedure Notes | |
Procedure Without Incident? | Encrypted Field Restricted |
Endoscopic? | Encrypted Field Restricted |
Hearing Test Performed? | Encrypted Field Restricted |
Post-microsuction Otoscopy | |
Left Ear (Post) | Encrypted Field Restricted |
Right Ear (Post) | Encrypted Field Restricted |
Medical Referral | |
Medical Referral | Encrypted Field Restricted |
Additional Practitioner Notes | Encrypted Field Restricted |
Practitioner's Signature |
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