No Yes. If so, dates of admission: Date(s) you treated the patient for condition: Will the patient need to have treatment visits at least twice per year due to the condition? No Yes Was medication, other than over-the-counter medication, prescribed? No Yes Was the patient referred to other health care provider(s) for evaluation or treatment (e.g. physical therapist)? No Yes If so, state the nature of such treatments and expected duration of treatment:
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
No Yes. If so, dates of admission: Date(s) you treated the patient for condition: Will the patient need to have treatment visits at least twice per year due to the condition? No Yes Was medication, other than over-the-counter medication, prescribed? No Yes Was the patient referred to other health care provider(s) for evaluation or treatment (e.g. physical therapist)? No Yes If so, state the nature of such treatments and expected duration of expect treatment:
Appears in 2 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement
