Documents tagged "Provider"

Found 5 documents with this tag

DOJ-OGR-00026318.jpg

The image is of a document with printed text, which appears to be an official form or letter from a medical institution. At the top, there's a section with handwritten notes and marks, suggesting annotations or corrections have been made. The visible portions of the text include phrases such as "Patient Name," "Address," and "Phone," indicating fields for personal information about the patient. There is also some reference to medical terms like "Health Care Provider," "Appointment Date," and "Time," which suggest that this form is related to scheduling or keeping track of appointments within a health care context.

Patient Name Health Care Provider Appointment Date Patient Name Address Phone Health Care Provider Appointment Date Time

DOJ-OGR-00026203.jpg

The image shows a document titled "Society of Obstetricians and Gynaecologists of Canada" with various sections including "Obstetrical Care" and "Neonatal Intrapartum Clinical Data Set." There is text in the background which appears to be a list or instructions, but it's too small to read clearly. The document includes fields such as "Date/Time," "Responding Provider," and "Location," with some filled-in information that is partially visible. It seems like a clinical form related to health services, specifically obstetrics and gynecology in Canada.

Obstetrical Care Neonatal Intrapartum Clinical Data Responding Provider Society Obstetricians Gynaecologists Canada Obstetrical Care Neonatal Intrapartum Clinical Data Set Date Time Responding Provider Location

DOJ-OGR-00026164.jpg

The image displays a medical document with a header that reads "Patient Summary" at the top. Below the header, there is a series of sections with headings such as "Date of Birth," "Primary Care Provider," and other medical information fields. The document appears to be a template for recording various details about a patient's health history or status, although specific data has been redacted to maintain privacy. The style of the image is straightforward and informational, typical of medical records or administrative forms used in healthcare settings.

Patient Summary Primary Care Provider Patient Summary Below Date Birth Primary Care Provider

DOJ-OGR-00026086.jpg

The image shows a document titled "Department of Prisons Clinical Encounter Summary". It is dated April 2019 and appears to be an official report or record related to healthcare encounters within the prison system. The document contains various sections with headings such as 'Encounter ID', 'Provider Name', 'Location', and 'Date of Service'. There are also columns for patient information, diagnosis codes, treatment rendered, and medications. Specific details like names, encounter numbers, and medical information are redacted to maintain privacy. The document is printed on standard white paper with black text.

Prisons Clinical Encounter Summary Provider Name Department Prisons Clinical Encounter Summary April Provider Name Location Date Service Specific

DOJ-OGR-00021101.jpg

The image shows a scanned document with multiple pages. On the page displayed, there is text that appears to be part of a legal document or report, possibly related to the medical field given the references to health and treatments. The text includes phrases such as "Health Care Provider," "treatment," and "patient," suggesting this could be an official document from a healthcare authority or organization. The page number in the bottom left corner indicates that this is the second page of the document. The top right corner shows some redacted information with what appears to be a name and address crossed out for privacy reasons. The overall style of the image is straightforward, focusing on the textual content of the document without any additional graphics or images within it.

Health Care Provider Health Care Provider