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Questions and Answers
What is the primary phone number of the patient?
What is the primary phone number of the patient?
- 217-259-3321
- 847-426-0301
- 217-259-3320 (correct)
- 847-426-0300
Who is the patient's primary care physician?
Who is the patient's primary care physician?
- Dr. Allen
- Dr. Sanjay Patari
- Dr. Shahab Mohiuddin (correct)
- Dr. Dave
Where is the patient's next appointment with Dr. Sanjay Patari?
Where is the patient's next appointment with Dr. Sanjay Patari?
- Surgeon's office (correct)
- The Oaks of Bartlett
- The patient's home
- 935 N Plum Grove Rd, Ste B, Schaumburg IL 60173
What is the patient's address?
What is the patient's address?
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Does the patient have a Foley?
Does the patient have a Foley?
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Who is the patient's contact person?
Who is the patient's contact person?
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What is the patient's current living situation?
What is the patient's current living situation?
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Is the patient able to get to their primary doctor's office for follow-up?
Is the patient able to get to their primary doctor's office for follow-up?
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What is the patient's inpatient discharge date?
What is the patient's inpatient discharge date?
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Who is the DC planner?
Who is the DC planner?
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Study Notes
Patient Information
- Patient's name: Jeanette Short
- Address: 388 Jervey Ln, Bartlett
- Primary Phone: 217-259-3320
- Email: Not provided
- Referral Source: The Oaks of Bartlett
- PCP: Dr. Shahab Mohiuddin
Medical History
- COVID status: No signs or symptoms, negative test result
- Last MD Appt: Visited during hospitalization
- Next MD Appt: Pending
- Inpatient DC Date/Facility: 6/20/24
Referral and Orders
- DC Planner: Dajeet
- Orders: Yes
- MD Confirmed: Yes
Consent and Family
- Patient can sign consent
- Family to contact: Allen (spouse)
- Contact Info Confirmed: Yes
- Family needs to be called: Yes
Living Situation
- Lives at home with spouse Allen
- Pharmacy used: Not specified
- Able to get to primary doctor’s office for follow-up: Not specified
- MD @ HOME NEEDED: Not specified
- Equipment needed: Not specified
- DME Company: Not specified
- DME ordered: Not specified
- DME @ Home: Not specified
Medical Care
- PT/INR: Not specified
- Next Lab: Not specified
- Following MD: Not specified
- Wounds: Not specified
- Foley: Not specified
- Managing MD: Not specified
- Last Change Date: Not specified
Additional Information
- Next appointment with Dr. Sanjay Patari on July 3rd
- RN/PT/OT: Not specified
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