Patient Details
Patient Details
Payers
Primary :
Secondary :
Tertiary :
Visual Acuity
OD :
OS :
Diagnosis Codes
Reserved Vials
| TAG # | Jcode | Item Description | Lot Number | Expiration Date | Received Date |
|---|
Upcoming Appointments
| Date | Time | Physician/Location | Reason | Previous Treatment | Next Injection | Prior Auth Drug | Action |
|---|
Treatment History
| TAG # | Description | Physician | Location | Eye | Date of Service | Transaction Date | User | Warning/Info |
|---|