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Please FAX referral form and required clinical and demographic info to:P 423.616.9757 TF 866.589.0003 www.brookwellhealth.comFax: 844.309.6361COVID19 Monoclonal Antibody Infusion Referral Formation
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How to fill out covid-19 monoclonal antibody infusion

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How to fill out covid-19 monoclonal antibody infusion

01
Step 1: Bring the patient to a healthcare facility that offers covid-19 monoclonal antibody infusion.
02
Step 2: Ensure the patient meets the eligibility criteria for receiving the infusion.
03
Step 3: Collect all necessary medical documentation and information about the patient's health history.
04
Step 4: Provide informed consent to the healthcare provider administering the infusion.
05
Step 5: Follow the healthcare provider's instructions throughout the infusion process.
06
Step 6: Monitor the patient's vital signs and observe for any adverse reactions during and after the infusion.
07
Step 7: Stay in touch with the healthcare provider for any post-infusion follow-up or additional instructions.

Who needs covid-19 monoclonal antibody infusion?

01
Individuals who have tested positive for covid-19.
02
Individuals who are at high risk of progressing to severe illness from covid-19.
03
Individuals who are within 10 days of symptom onset.
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Covid-19 monoclonal antibody infusion is a treatment option for individuals infected with the Covid-19 virus.
Healthcare providers are required to file covid-19 monoclonal antibody infusion for their patients.
To fill out covid-19 monoclonal antibody infusion, healthcare providers must provide specific information about the patient and the treatment.
The purpose of covid-19 monoclonal antibody infusion is to help reduce the severity of symptoms and prevent hospitalization in individuals with Covid-19.
Information such as patient demographics, treatment details, and outcomes must be reported on covid-19 monoclonal antibody infusion.
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