Single, erupted, no other 3rds Place on schedule in emergency slot w/ name and DOB on DQ portal $3.40 21 and over 19 and up Tuesday in SV Schedule as a walk- in work-in Yellow 4 or more EXTs M-Thur, single double book 30 min unless notated Any time, M- Thu, No Fridays Send PT over NO M-Thu, No SV Tuesday Contact PCC for approval 15 and younger 1st 2 templates in DQ afternoon Under attachment ALL They are dismissed Must have to shedule 45 minutes Medicaid Waiver Doesn't matter amount- consult 20 and younger 1 hr unless notated "Both" Single, erupted, no other 3rds Place on schedule in emergency slot w/ name and DOB on DQ portal $3.40 21 and over 19 and up Tuesday in SV Schedule as a walk- in work-in Yellow 4 or more EXTs M-Thur, single double book 30 min unless notated Any time, M- Thu, No Fridays Send PT over NO M-Thu, No SV Tuesday Contact PCC for approval 15 and younger 1st 2 templates in DQ afternoon Under attachment ALL They are dismissed Must have to shedule 45 minutes Medicaid Waiver Doesn't matter amount- consult 20 and younger 1 hr unless notated "Both"
(Print)
Single, erupted, no other 3rds
Place on schedule in emergency slot
w/ name and DOB on DQ portal
$3.40
21 and over
19 and up
Tuesday in SV
Schedule as a walk-in work-in
Yellow
4 or more EXTs
M-Thur, single double book
30 min unless notated
Any time, M- Thu, No Fridays
Send PT over
NO
M-Thu, No SV Tuesday
Contact PCC for approval
15 and younger
1st 2 templates in DQ afternoon
Under attachment
ALL
They are dismissed
Must have to shedule
45 minutes
Medicaid Waiver
Doesn't matter amount- consult
20 and younger
1 hr unless notated
"Both"
