Stacey Trevino

 
 26 Sep 2019, 11:51 AM 
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 Holly Barton PhD DOB: 20 Jan 2002 (64 yo F) Acc No. 28935 DOS: 12 Dec 2018 
 REFERRAL TO ALTERNATIVE/PRIMARY CARE PROVIDER: 
 Referral to doctor 
 Care goal follow-up plan: 
 Above Normal BMI Follow-up Lifestyle education regarding diet 
 BMI management provided Yes 
 Procedure Codes 
 94640 NEB/MDI DEMO, Modifiers: 40 
 Follow Up 
 4 Months 
 Mts Nuste MD 
 Electronically signed by Ashley Peterson, MD on 21 Nov 2014 at 
 11:51 AM EDT 
 Sign off status: Completed 

 SUITE 204 
 TAMPA, FL 336136540 
 Tel: 813xxxxxxx
 Fax: 813xxxxxxx
 Progress Note: Michael Newton MD PA 09/25/2023 
 Note generated by eChnicalWorks EMR/PM Software (www.ClnicalWorks.com)
 
