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Get 3008 Form 2009-2024

O No ADDITIONAL THERAPIES (Attach Orders) No No No Coordinating Activities Non-weight bearing Partial weight bearing Full weight bearing Occupational Therapy Speech Therapy Respiratory Therapy Other (H) TREATMENT AND EQUIPMENT NEEDS (Attach Orders) Catheter Care Changing Feeding Tube Dressing Changes Ostomy Care Wound Care Suctioning Trach Care No ADDITIONAL ORDERS (Orders may be attached) Diabetic Care Monitor Blood Sugar/Frequency Administer Tube Feeding Oxygen (Select from b.

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