omnlcare Farwen Medical 39180 Favwsn Drive Fremont. CA 94533
mil/1m ACCessOmmcaramm Phone: 5105852545 Fax1510 505.9287

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WORK SYATUS RECOMMENDANONS FOR ENCOUNTER DATE: 1211412017

 

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Farwsh Medical Building

AwessOmnicare.com Phune: 510 5852545

 

WORK STATUS RECOMMENDATIONS FOR ENCOUNTER DATE: 12/20/2017

 

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BASIL RASNAD BESH, MD

 

   

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Injury Follow-up:

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- CHIROPRACTIC AND MASSAGE REFERRAL - 

 

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Inwunue Revenue
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ELECTROCARDIOGRAM

 

 

 

 

 

 

 

 

39150 Farweu Drive Fremont, CA 94535
Fax 510.505 9287

 

Normal, old chunges, paIIenI clInICaVIy 

 

 

 

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NO REPETITWE Movemzms

WORK REGULAR HOURS wm< no avamm;

 

 

 

 

 

 

Follow up nnmulon:

- Nan, PTA luv PT We TREAYMENT THERAPY on Human
01:00 PM

- Jon-nun Nun. PTA lo: PT We YREATMENT n: YHENAPV on 1212312011
M1: 0 PM

- 07.511111 far we It ACCESS OMNICARE on12ml2011 came
PM

 

 

 

 

 

 

SIgnad ny DR, SARAH HALL. MD