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Speech Language Pathology Discharge Summary

Patient Information4614 Winstead WayFranklin, Tennessee 37065 Megan William, MD5130 Healthcare - Medical & Dental PractitionersPhysician:Physician #:Address:City, State, Zip:Occupation:MaleGender:Mary HesterContact Person:10# of Approved Visits:BMedicare #: Discharge THROMBOSIS WITH CEREBRAL INFARCTION10/7/2008 Primary Diagnosis:CodeDescriptionOnset LOSS8/3/2013 Other Diagnosis:Reason for Visit:ensure competency to practice medicineVisit Information:Treatments: 2 Missed: 0 Has there been any changes to the patient's medications, allergies, operative procedures or diagnosis?NoAre you being threatened or hurt by anyone?NoPatient / Caregiver was given proper notification of Discharge :YesNo further Speech / Language Therapy intervention is indicated at this time in this setting:YesPatient's physician has been notified that patient has been discharged from Speech and Language Pathologist's care:YesReasons for Discharge :Goals MetFinal Instructions toPatient:Dr.

Functional Limitation Reporting Comments: Initial and secondary established Functional Limitation Reporting goals have been met. Interventions (CPT Code)

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  Language, Discharge, Summary, Pathology, Language pathology discharge summary

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