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Get Paragon Healthcare Injection Orders 2022-2024
DOB: Phone: Patient Status: New to Therapy Continuing Therapy Next Treatment Date: MEDICAL INFORMATION Diagnosis: Alcohol Dependency Opioid Dependency Other: ICD-10 Code: Patient Weight: lbs. (required) Allergies: THERAPY ORDER Dose: 380mg IM, given once every month Refills: Other orders:.
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