Diabetic Foot Exam Form

Diabetic Foot Exam Form - 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: Additional question (s) or concern(s): 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. Here for diabetic foot evaluation and counseling. Cpt code (2028f, g0245, g0246, g9226)

Additional question (s) or concern(s): 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. Here for diabetic foot evaluation and counseling. Diabetic foot examination chief complaint: 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.

Comprehensive diabetes foot examination form adapted from the national diabetes education program’s foot screening form i. Here for diabetic foot evaluation and counseling. Comprehensive (visual, sensory, pulse) diabe c foot exam. Cpt code (2028f, g0245, g0246, g9226) Additional question (s) or concern(s): Diabetic foot examination chief complaint: 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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Additional Question (S) Or Concern(S):

Comprehensive (visual, sensory, pulse) diabe c foot exam. Diabetic foot examination chief complaint: Here for diabetic foot evaluation and counseling. 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 diabetes foot examination form adapted from the national diabetes education program’s foot screening form i.

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