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Use to document narrative information when additional supportive documentation is necessary. It may be used as a stand alone clinical note for:

* one episode of home visit follow-up, care coordination.

* telephone call or other, OR

* as an ongoing progress note for multiple entries, OR

* as a continuation sheet whenever additional documentation space is needed (i.e. Skilled Nursing Visit Note).

May also be used to immediately document information from case/care conferences, route to appropriate team members for care coordination, and file inclinical record. Assist in demonstrating ongoing communication, cooperativeplanning among staff members and services and/or liaison with outside organizations.

8 1/2 x 11, white paper, black ink, prints one side only, 5 holes punched top and side, padded in 100s.

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Clinical Note Form