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SOUTHPAW OUTPATIENT INFUSION CENTERCasirivimab & Imdevimab (Regency) Order Form for Treatment of COVID-19 (+) patientsPatient Name___1989 MiamisburgCenterville Road Suite 101 Centerville, OH 45459
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Casirivimab and imdevimab (Regen-Cov) is a combination therapy used for the treatment of COVID-19.
Healthcare providers and facilities are required to administer and report the use of casirivimab and imdevimab (Regen-Cov).
Casirivimab and imdevimab (Regen-Cov) should be filled out with details of the patient receiving the treatment, the healthcare provider administering it, and the outcome of the treatment.
The purpose of casirivimab and imdevimab (Regen-Cov) is to help reduce the severity of symptoms and improve outcomes in patients with COVID-19.
Information reported should include patient demographics, treatment details, and any adverse reactions experienced.
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