Diabetic Foot Exam Form

Diabetic Foot Exam Form - Has the patient had prior foot care education? Does the patient need diabetic shoes/ inserts? Comprehensive (visual, sensory, pulse) diabe c foot exam. Cpt code (2028f, g0245, g0246, g9226) Any change in the foot. Adapted from the national diabetes education program’s foot screening form. (check all that apply.) ii.

Adapted from the national diabetes education program’s foot screening form. Any change in the foot. Has the patient had prior foot care education? Cpt code (2028f, g0245, g0246, g9226) Comprehensive (visual, sensory, pulse) diabe c foot exam. (check all that apply.) ii. Does the patient need diabetic shoes/ inserts?

(check all that apply.) ii. Any change in the foot. Has the patient had prior foot care education? Cpt code (2028f, g0245, g0246, g9226) Does the patient need diabetic shoes/ inserts? Adapted from the national diabetes education program’s foot screening form. Comprehensive (visual, sensory, pulse) diabe c foot exam.

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Adapted From The National Diabetes Education Program’s Foot Screening Form.

Comprehensive (visual, sensory, pulse) diabe c foot exam. Cpt code (2028f, g0245, g0246, g9226) Any change in the foot. Has the patient had prior foot care education?

Does The Patient Need Diabetic Shoes/ Inserts?

(check all that apply.) ii.

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