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Advanced Wound Care & Hyperbaric Oxygen TherapyLane Wound Center 4917 West Park Drive Zachary, LA 70791 Phone: (225) 6584110 Fax: ( 225) 6584108Patient Name:___ Patient Date of Birth:___ Reason for
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How to fill out wound form 85 x

01
Retrieve form 85 x from the designated location.
02
Fill in the patient's name, date of birth, and medical record number in the appropriate sections.
03
Describe the location and size of the wound in detail.
04
Note any signs of infection or unusual characteristics of the wound.
05
Document the date and time the wound form was filled out.
06
Obtain necessary signatures from healthcare providers or other relevant individuals.
07
Submit the completed wound form to the appropriate department for processing.

Who needs wound form 85 x?

01
Healthcare professionals who are responsible for documenting and tracking wound care management for patients.
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Wound Form 85 x is a specific document used for reporting injuries or medical conditions related to workplace incidents, especially in claims for workers' compensation.
Employers and employees involved in a workplace injury or medical incident are typically required to file Wound Form 85 x.
Wound Form 85 x should be filled out by providing accurate details about the injured party, the nature of the injury, the circumstances of the incident, and any relevant medical information.
The purpose of Wound Form 85 x is to document workplace injuries or illnesses for workers' compensation claims and ensure compliant reporting to relevant authorities.
The information that must be reported includes the employee's details, injury specifics, date and time of the incident, witness information, and any medical treatment received.
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