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OR Medical Group Remicade Infliximab Infusion free printable template

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Oregon Medical Group Infusion Center 1007 Harlow Road Springfield, Oregon 97477 Phone: (541 7410387 Fax: (541 2424634 () Infusion Order Name: DOB: Diagnosis: ICD10 Code: 1. 2. 3. 4. 5. 6. Peripheral
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How to fill out OR Medical Group Remicade (Infliximab) Infusion Order

01
Obtain the OR Medical Group Remicade (Infliximab) Infusion Order form.
02
Fill out patient demographics including name, date of birth, and medical record number.
03
Specify the diagnosis for which Infliximab is being prescribed.
04
Indicate the recommended dosage and frequency of the infusion.
05
Complete any required lab test results or baseline assessments.
06
Include physician's information, including name, contact number, and signature.
07
Review the order for accuracy and completeness.
08
Submit the order to the infusion center or relevant medical department.

Who needs OR Medical Group Remicade (Infliximab) Infusion Order?

01
Patients with autoimmune diseases such as Crohn's disease, ulcerative colitis, rheumatoid arthritis, or ankylosing spondylitis.
02
Individuals who have not responded to other therapies for their condition.
03
Patients in need of immunosuppressive treatment for serious inflammatory conditions.
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You can schedule a weekend telehealth appointment by calling 630−364−7850.
Duly Health and Care is the largest independent, multi-specialty physician-directed medical group in the Midwest with more than 900 primary care and specialty care physicians and more than 6,000 team members, in over 150 locations.
The infusion is administered by injecting a needle attached to a small tube directly into one of the patient's veins. This tube is connected to an IV bag containing the prescribed medication. Once attached to your vein, the solution slowly drips into your bloodstream.
Duly is more than a name – it's a promise. A promise to practice healthcare the way it was originally intended. “Du,” meaning two in Latin, as in two partners: patient and caregiver. As in working toward the same two goals: better health and exceptional care.
A method of putting fluids, including drugs, into the bloodstream. Also called intravenous infusion.
On the Record with Steve Nelson, CEO, Duly Health and Care.

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The OR Medical Group Remicade (Infliximab) Infusion Order is a medical protocol used to facilitate the administration of the drug Infliximab, which is primarily used to treat autoimmune conditions such as Crohn's disease and rheumatoid arthritis.
Healthcare professionals authorized to prescribe medication, such as physicians and nurse practitioners, are required to file the OR Medical Group Remicade (Infliximab) Infusion Order when a patient is prescribed this infusion therapy.
To fill out the OR Medical Group Remicade (Infliximab) Infusion Order, the prescriber must provide patient information, including the patient's medical history, dosage instructions, frequency of treatment, and any relevant clinical indications for therapy.
The purpose of the OR Medical Group Remicade (Infliximab) Infusion Order is to ensure patients receive the appropriate dosage and treatment schedule for Infliximab, thereby improving disease management and patient outcomes.
The OR Medical Group Remicade (Infliximab) Infusion Order must report the patient's name, date of birth, diagnosis, prior treatment history, dosage of Infliximab, infusion schedule, and any allergies or contraindications.
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