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COMPREHENSIVE PEDIATRIC NURSING ASSESSMENT

Primary Diagnosis/Reason for Home CareICD Code(Locator #11)a. _____ ( _____ ) Date _____ O EOther Diagnosis/ReasonsICD Code(Locator #13)b. _____ ( _____ ) Date _____ O Ec. _____ ( _____ ) Date _____ O Ed. _____ ( _____ ) Date _____ O Ee. _____ ( _____ ) Date _____ O Ef. _____ ( _____ ) Date _____ O EHistory/Surgical ProcedureICD Code(Locator #12)_____ ( _____ ) Date _____ O E_____ ( _____ ) Date _____ O EPatient s HI Claim No.: (Locator #1) Same as Medicaid CHIP (Childrens Health Insurance Program) Self or family pays full or partial costs Other_____Gender: (Locator #9) 1-Male 2-FemaleEthnicity and Race: American Indian or Alaska Native Native Hawaiian or AsianPacific Islander Black or African-American White Hispanic or Latino OtherMedicaid Provider Number: (Locator #5) _____Patient ID / Medical Record Number.

COMPREHENSIVE PEDIATRIC NURSING ASSESSMENT WITH PLAN OF TREATMENT/485 INFORMATION PATIENT NAME – Last, First, Middle Initial ID# COMPREHENSIVE PEDIATRIC NURSING ASSESSMENT Page 1 of 14 DATE OF SERVICE _____ TIME ... Feedings: Bolus Continuous Flush Protocol: (amt./specify)_____ ...

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