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DTC Specialty Infusion Order FAX orders to: 404.501.5703 Phone: 404.501.5580 Patient Information (Required for Scheduling) Patient Name: DOB: Sex: MF SS#: XXXIX First & Last Name Patients Address:
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How to fill out infusions - DeKalb Medical:

01
Gather necessary information: Start by collecting all the required details for filling out the infusions at DeKalb Medical. This may include the patient's personal information, medical history, current medications, and any specific instructions from the healthcare provider.
02
Review the infusion form: Familiarize yourself with the infusion form provided by DeKalb Medical. Pay attention to the different sections and fields that need to be completed accurately.
03
Patient identification: Ensure that the patient identification section is properly filled out with the patient's full name, date of birth, and any other required identification details. This helps in correctly associating the infusion with the specific patient.
04
Medical information: Provide details about the patient's medical condition and any specific reasons for the infusion. Include information about the primary care physician or specialist overseeing the treatment if applicable.
05
Medication details: Clearly document the details of the medication that will be administered through the infusion. Include the name, dosage, frequency, and any other relevant information provided by the healthcare provider.
06
Allergies and adverse reactions: Indicate any known allergies or previous adverse reactions that the patient may have experienced with a particular medication or substance. This is crucial for ensuring patient safety during the infusion process.
07
Start and end dates: Specify the expected start and end dates for the infusion. This helps in coordinating the treatment schedule and ensures proper planning and monitoring.
08
Healthcare provider's signature: If required, obtain the signature of the healthcare provider who prescribed the infusion. This serves as an authorization for the treatment and confirms the medical professional's approval.

Who needs infusions - DeKalb Medical:

01
Patients with chronic conditions: Individuals suffering from chronic illnesses or conditions that require a continuous or periodic administration of medication may need infusions. Conditions such as autoimmune diseases, cancer, certain infections, and some genetic disorders may necessitate infusions for treatment or management.
02
Surgical patients: Patients undergoing certain types of surgeries may require infusions to deliver medication or nutrients intravenously during the perioperative period. Infusions are commonly used in surgical settings to maintain the patient's health and aid in the recovery process.
03
Acute illness or infection: In some cases, individuals with severe acute illness or infection may require infusions to deliver medication directly into the bloodstream. This method ensures quick and effective distribution of medication, especially in critical situations.
04
Fluid and electrolyte imbalance: Infusions are also utilized to correct fluid and electrolyte imbalances in patients who require immediate intervention. This treatment approach helps restore the body's fluid and electrolyte levels to maintain normal physiological functioning.
05
Emergency situations: Infusions are often employed in emergency medical situations where rapid treatment is necessary. They can be used to administer lifesaving medications or fluids to stabilize a patient in critical condition.
Please note that the information provided is general and it is important to consult with healthcare professionals at DeKalb Medical for specific guidance and recommendations regarding infusions and individual patient needs.
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Infusions - DeKalb Medical is a healthcare provider that specializes in offering infusion therapy services to patients.
Healthcare providers, hospitals, or clinics that offer infusion therapy services are required to file infusions - DeKalb Medical.
Infusions - DeKalb Medical forms can be filled out online or submitted physically with the required information about the patient's treatment.
The purpose of infusions - DeKalb Medical is to accurately report and track the infusion therapy services provided to patients for better healthcare management.
Information such as the type of infusion therapy, duration of treatment, dosage administered, patient's details, and healthcare provider information must be reported on infusions - DeKalb Medical.
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