Brian Davis

 
 PT Visit : 01/06/2021 
 Oceanside Medical 
 Brian Davis. (10033120 ) 
 4331 Ridgecrest Road 
 Greenville TX 73302 
 dob: 28/05/1987 
 Patient identity confirmed 
 Time In: 09:45 
 Time Out: 10:30 
 date of visit: 01/06/2021 
 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
