www.marshallortho.com

    Douglas A. Waldman, MD

           304 University, Suite 212      Marshall, Texas 75670-524

Phone [903] 935-1151 -- Fax [903] 935-0077

Nursing Home / Extended Care / Institutional

X RAY ORDERS

 

Patient Name:

PLEASE HAVE YOUR PORTABLE X RAY SERVICE DO THE FOLLOWING X RAYS ON THIS PATIENT, AND SEND THE X RAY FILMS AND REPORT TO OUR OFFICE

            Orders:

 

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                                           xx   Douglas A. Waldman, MD

Date: