CONDITIONS:
CURRENT MEDS:
INSTRUCTIONS:
Copy to Patient
Fasting Instructions
THERAPEUTIC MONITORING
CHF:
Baseline
Follow-up
Standing Order Q3M
CKD Stage 3:
Annual
eGFR/ACR Q6M
DM:
Annual
A1C Q3M
DYSLIPIDEMIA:
Screening
On Statin
HYPERTENSION:
Annual
OTHERS:
Autoimmune
ANA,
RF
CBC
Celiac disease ~$120
CTD Workup
Dementia
Eating disorder workup
Fatigue
Gyne Cancer
Hep B
(Chronic) follow-up
Infertility Female
Male
INR - Standing Order
LFTs
LFT Elevation Acute
Chronic
Osteoporosis Female
Male
PCOS workup
Prenatal:First visit labs
Prenatal:Gestational HTN
Renal Function
Stool
O+P,
C+S
Thombosis screen
TSH
Standing Order
Urine C&S
Vaginitis
Subject: