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Wound Care Order FormFax this form and patient records to 2077847992 Also available at MyBedard.com/referralformsPhone: 2077843700 1. Patient InformationPatient Name:___ DOB:___ Phone #:___ Is patient
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How to fill out advanced wound care order

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How to fill out advanced wound care order

01
Begin by assessing the wound and documenting the size, location, and appearance.
02
Consult with the healthcare provider to determine the appropriate type of advanced wound care needed.
03
Complete the advanced wound care order form with the necessary information, including the patient's name, date of birth, medical record number, and insurance information.
04
Specify the type and frequency of the dressing changes, as well as any additional supplies needed.
05
Obtain necessary signatures from the healthcare provider and the patient or their legal guardian.
06
Review the completed order form for accuracy and make any necessary corrections before submitting it to the appropriate department.

Who needs advanced wound care order?

01
Patients with chronic wounds such as diabetic ulcers, pressure ulcers, or surgical wounds that are not healing properly.
02
Patients with complex wounds that require specialized treatment and monitoring.
03
Patients with compromised immune systems or other underlying health conditions that affect wound healing.
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Advanced wound care order is a prescription for specialized wound care products and treatments designed to promote healing and prevent infection in patients with complex or chronic wounds.
Healthcare providers such as physicians, nurse practitioners, and wound care specialists are required to file advanced wound care orders for their patients.
Advanced wound care orders should be completed with specific details about the wound type, treatment plan, and product recommendations. The ordering provider must sign and date the order.
The purpose of advanced wound care order is to ensure that patients receive appropriate and effective wound care treatments to promote healing and prevent complications.
Advanced wound care orders must include patient demographics, wound assessment details, treatment recommendations, product selections, and provider information.
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