21.07.2013 Views

CONSENT AGREEMENT BETWEEN - State Medical Board of Ohio ...

CONSENT AGREEMENT BETWEEN - State Medical Board of Ohio ...

CONSENT AGREEMENT BETWEEN - State Medical Board of Ohio ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Matter <strong>of</strong> Kyle Elliott Hoogendoorn, D.P.M. Page 47<br />

Pt Date Procedure Type/<br />

Medication<br />

1 08/22/01 Trigger point injection/<br />

bupivacaine<br />

10/02/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

2 03/06/01 Trigger point injection/<br />

Depo-Medrol, bupivacaine<br />

04/04/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

10/16/01 Trigger point injection/<br />

bupivacaine<br />

3 10/17/01 Trigger point injection/<br />

Depo-Medrol, bupivacaine<br />

11/13/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

4 02/14/01 Trigger point injection/<br />

bupivacaine<br />

03/02/01 Trigger point injection/<br />

Depo-Medrol, bupivacaine<br />

03/16/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

5 06/01/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

06/08/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

06/15/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

06/29/01 Chemoneurolytic injection/<br />

Sarapin, Depo-Medrol,<br />

bupivacaine<br />

10/10/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

10/19/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

7 06/19/01 Trigger point injection/<br />

bupivacaine<br />

07/18/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

08/01/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

08/14/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

09/21/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

10/02/01 Chemoneurolytic injection/<br />

Sarapin, bupivacaine<br />

Physician(s) Discharge Summary Signed By<br />

Dr. Leak or Dr. Griffin?/ Name<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Leak<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Leak<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Leak<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Hoogendoorn/<br />

Griffin<br />

Yes/Griffin 67a<br />

Yes/Griffin 68a<br />

Yes/Griffin 136a<br />

No 121a<br />

Yes/Griffin 95a<br />

Yes/Griffin 87a<br />

Yes/Griffin 76a<br />

Yes/Leak 214a<br />

Yes/Griffin 85a<br />

Yes/Griffin 83a<br />

No 93a<br />

No 90a<br />

No 87a<br />

No 78a<br />

Yes/Griffin 65a<br />

Yes/Griffin 59a<br />

No 92a<br />

Yes/Griffin 86a<br />

Yes/Leak 84a<br />

Yes/Griffin 82a<br />

Yes/Griffin 75a<br />

Yes/Griffin 73a<br />

Dch.Sum<br />

at Page

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!