1995 & 1997 DOCUMENTATION GUIDELINES
LIST ALL DIAGNOSES (should correlate with meds., indicate if unstable, include name and date of physician verification) LIST (OR ATTACH A LIST OF) MEDICATION (RX and OTC) FOR DIAGNOSES ... History of violent behavior Priority Risk: 1 High 2 Medium 3 Low Weapons in the home Emergency Back-up Plan: Vicious dogs Others available in the home for ... ................
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