Cellulitis admission orders

Can you give me application for the Cellulitis Physician's Orders – Admission for the county of Los Angeles ??

Here I am giving you application for the Cellulitis Physician's Orders – Admission for the county of Los Angeles in a PDF file with it ..

In the application form you have to fill the following details:
Admit To: Service
MD/NP/PA:
MD/NP/PA:
Sr. Resident:
Attending M.D.:
Provider Last Name
Provider Signature:
Date:
RN Last Name (Print):
RN Signature:
Date:
Clerk/LVN Signature:
Date:

VII. Height/Weight: (To be completed by RN) Height: _______cm or _in Weight: _kg or ___lb

VIII. Condition: Good Fair Serious Critical

Attached Files Available for Download

County of La Cellulitis admission orders FORM.pdf (835.2 KB, 59 views)