Jeanne Greer

 
 PT Visit : 14 October 2015 
 Golden Oaks Clinic 
 Jeanne Greer. (10050120 ) 
 4501 Ridgecrest Road 
 Greenville TX 75002 
 birthdate: 22 February 1998 
 Patient identity confirmed 
 Time In: 09:45 
 Time Out: 10:30 
 DATE OF VISIT: 14 October 2015 
 Medical Diagnosis: S/P right TKR 
 PT Diagnosis: 
 Gait disturbance 
 Homebound? 
 Yes 
 No 
 Residual Weakness 
 Unable to safely leave home unattended 
 Needs assistance for all activities 
 Severe SOB or SOB upon exertion 
 Requires max assistance / taxing effort to leave home 
 Confusion, unsafe to go out of home alone 
 Other: 
 Patient identified by correct name and address 
 000473
