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BEDSIDE COMMODE INTAKE Nonstandard bedside commode Drop arm bedside commode Ex wide bedside commode Height: Weight: Person providing information: Title: Referral contact phone # Patient Name: Account#
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Bedside commode intake form is a questionnaire used to gather information about a patient's usage of a bedside commode for personal care.
Patients who use a bedside commode for personal care are required to file the intake form along with their caregivers or healthcare providers.
The bedside commode intake form can be filled out by providing accurate information about the patient's usage of the bedside commode, including frequency and any specific needs or preferences.
The purpose of the bedside commode intake form is to ensure that patients receive proper care and assistance in using the bedside commode, as well as to help healthcare providers assess the patient's needs.
Information such as the patient's name, contact information, medical history, frequency of bedside commode usage, and any specific instructions or preferences must be reported on the intake form.
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