V17_Jan22_2021B has the diagnosis field highlighted in yellow as it is a required field. It is otherwise unchanged from the previous version.
Updated January 22 2021 with the new signature scripts
Update July 5 2020 The referral process has been DECENTRALIZED. Please note that complete PFTs are not required for dx of asthma of COPD. Use the accessory Spirometry eFORMS.
File | Action |
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Pulm_Diagnostics_FHA_V17_Jan22+2021B.zip | Download |
Pulm_Diagnostics_FHA_V17_Jan22_2021.zip | Download |