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Enrollment FormOptum Specialty Phone: 8554274682 Optum Specialty Fax: 8773424596This form is not a valid prescription in ArizonaPlease detach before submitting to a pharmacy tear here.PATIENT INFORMATIONPRESCRIBER
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How to fill out 9 chronic kidney disease
How to fill out 9 chronic kidney disease
01
Collect all relevant patient medical history and lab results.
02
Use an eGFR (estimated Glomerular Filtration Rate) calculator to determine the stage of chronic kidney disease.
03
Assess urinary protein levels to evaluate kidney damage.
04
Record blood pressure and check for hypertension.
05
Monitor lab values like serum creatinine, potassium, and bicarbonate.
06
Note any symptoms such as fatigue, swelling, or changes in urination.
07
Document comorbid conditions like diabetes or cardiovascular disease.
08
Ensure follow-up plans are noted for ongoing management and review.
Who needs 9 chronic kidney disease?
01
Individuals with a history of diabetes or hypertension.
02
Patients exhibiting signs of kidney dysfunction or damage.
03
Individuals over the age of 60 who are at increased risk.
04
Individuals with a family history of chronic kidney disease.
05
Persons with a history of urinary tract infections or kidney stones.
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What is 9 chronic kidney disease?
9 chronic kidney disease refers to a classification of chronic kidney disease (CKD) that indicates a severe level of kidney damage and dysfunction, often corresponding to a glomerular filtration rate (GFR) below 15 mL/min.
Who is required to file 9 chronic kidney disease?
Individuals diagnosed with stage 9 chronic kidney disease are typically required to file for health services or treatments related to their condition, often including those undergoing dialysis or kidney transplantation.
How to fill out 9 chronic kidney disease?
Filling out documentation related to stage 9 chronic kidney disease involves providing personal health information, details of the diagnosis, treatments being received, and any additional health conditions that may be relevant.
What is the purpose of 9 chronic kidney disease?
The purpose of classifying 9 chronic kidney disease is to identify patients at high risk for complications, to facilitate appropriate treatment plans, and to enable healthcare providers to coordinate care effectively.
What information must be reported on 9 chronic kidney disease?
Information that must be reported on 9 chronic kidney disease includes patient's personal health data, laboratory results showing kidney function, treatment options being utilized, and any comorbidities that could impact treatment.
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