Master List of HCH Forms Currently Barcoded and - Department of ...
Master List of HCH Forms Currently Barcoded and - Department of ...
Master List of HCH Forms Currently Barcoded and - Department of ...
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Bar Coded <strong>Forms</strong> by <strong>HCH</strong> Number for eHIMS website.xls Sorted by Form Name<br />
<strong>HCH</strong>-1902 Ophthalmology Consult (UMG)<br />
<strong>HCH</strong>-2256 Ophthalmology Consult (NICU) May-10 Jun-10 T. Donovan<br />
<strong>HCH</strong>-1991 Ophthalmology Encounter Note (Ophthalmology)<br />
<strong>HCH</strong>-1996 Ophthalmology Post-Operative Instructions (UMG)<br />
<strong>HCH</strong>-1997 Ophthalmology Post-Operative Instructions Spanish (UMG)<br />
<strong>HCH</strong>-1906 Ophthalmology Pre Op Cataract Surgery Summary (Ophthalmology)<br />
<strong>HCH</strong>-2263 Order Documentation Sheet Jul-10 Ute Schroeder<br />
<strong>HCH</strong>-1685 Order For Administration Of Definity Contrast Agent For Use During Transthoracic Echocardiogram 00-2005 Jul-12 Deborah Clark / Christine Burns<br />
<strong>HCH</strong>-121 Order Sheet (Automatic Stop Orders) - Order from warehouse (Moore)<br />
<strong>HCH</strong>-1938 Order Sheet (UMG)<br />
<strong>HCH</strong>-121B Order Sheet Hemodialysis St<strong>and</strong>ing Orders Apr-86<br />
<strong>HCH</strong>-1305 Orders for 2nd Trimester Termination Patients Oct.-99 Mar-06 Sue Goodrich<br />
<strong>HCH</strong>-1306 Orders for C-Section Delivery Oct.-99 Jan.-10 Sue Goodrich<br />
<strong>HCH</strong>-1598 Orthopedic Surgery H<strong>and</strong> Therapy Referal Sep-06 Oct-08 Linda Clark-UMG Clinical<br />
<strong>HCH</strong>-1792 Orthopedic Surgery Letter <strong>of</strong> Medical Necessity (UMG)<br />
Orthopedic Surgery New Patient Questionnaire (UMG)<br />
00-05 Nov-11 K. Clarke- Orthopaedic Surgery<br />
<strong>HCH</strong>-1572<br />
Jan-07 K. Clarke- Orthopaedic Surgery<br />
<strong>HCH</strong>-2310 Orthosis Examination Jul-11 Jennifer Smedberg<br />
<strong>HCH</strong>-1532 Osteoporosis Follow Up Encounter Note UMG Oct-06 K. Clarke- Orthopaedic Surgery<br />
<strong>HCH</strong>-1531 Osteoporosis New Patient or Consult H&P UMG Oct-06 K. Clarke- Orthopaedic Surgery<br />
<strong>HCH</strong>-1530 Osteoporosis New Patient Questionnaire UMG Oct-06 K. Clarke- Orthopaedic Surgery<br />
<strong>HCH</strong>-2060 Outcome <strong>of</strong> Treatment Assessment via Global Assessment <strong>of</strong> Functioning (GAF)<br />
<strong>HCH</strong>-2233 Outpatient Cardiology History & Physical Feb.-10 C. Ingriselli<br />
<strong>HCH</strong>-1431 Outpatient Database Dept. <strong>of</strong> Rehab <strong>and</strong> Sports Medicine Replaced by <strong>HCH</strong>-2249 Rehab Plan Care Aug-92 May-08 Rehab & Sports Medicine<br />
<strong>HCH</strong>-2272 Outpatient Diet Order Form Aug-10 Dr. Allen<br />
<strong>HCH</strong>-2300 Outpatient Diet Order Form - Cancer Center May-11 Apr-12 Jessie Riemer<br />
<strong>HCH</strong>-2214 Outpatient MAR- Labor & Delivery Dec.-09 Jan-10 Toni Leers<br />
<strong>HCH</strong>-1537 Outpatient Medication Administration Record Nov-06 Nov-11 Jessie Riemer<br />
<strong>HCH</strong>-1947 Outpatient Order Sheet (Psych)<br />
<strong>HCH</strong>-1426 Outpatient Progress Note Feb-06 Rehab<br />
<strong>HCH</strong>-1763 Outpatient Psychiatry AIMS Exam Procedure Dec-06 M.Kelly-Psychiatry<br />
<strong>HCH</strong>-1763A Outpatient Psychiatry AIMS Exam Procedure (blank) Dec-06 M.Kelly-Psychiatry<br />
<strong>HCH</strong>-1764 Outpatient Psychiatry Case Management Progress Note Dec-06 M.Kelly-Psychiatry<br />
<strong>HCH</strong>-1764A Outpatient Psychiatry Case Management Progress Note (blank) Dec-06 M.Kelly-Psychiatry<br />
<strong>HCH</strong>-1765 Outpatient Psychiatry Case Management Referral Form Dec-06 M.Kelly-Psychiatry<br />
<strong>HCH</strong>-1765A Outpatient Psychiatry Case Management Referral Form (blank)<br />
Outpatient Psychiatry Group Psychotherapy Progress Note<br />
Martin Kelly-Psychiatry<br />
<strong>HCH</strong>-1579<br />
Dec-06<br />
Outpatient<br />
Outpatient Psychiatry Group Psychotherapy Progress Note (blank)<br />
Martin Kelly-Psychiatry<br />
<strong>HCH</strong>-1579A<br />
Dec-06<br />
Outpatient<br />
<strong>HCH</strong>-1933 Outpatient Psychiatry Medication Management Progress Note (Outpatient Psych)<br />
<strong>HCH</strong>-1766 Outpatient Psychiatry Mood Scale Deleted Oct 2007<br />
<strong>HCH</strong>-1766A Outpatient Psychiatry Mood Scale (blank)<br />
<strong>HCH</strong>-1932 Outpatient Psychiatry PHQ9 Scan Form (Psych Outpatient)<br />
8/3/2012 - 9:53 AM 18/28
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