Joseph Gutierrez


 Patient: 
 Joseph Gutierrez
 Acct 
 77524 
 date of visit: 2014 Aug 08
 Patient Education 1 
 Time Elapsed: 10 Minutes, Description: HEP, condition, pain relief: Charge 
 As: Self Care / Home Mgt Training, Billing Code: 97518 Performed by 
 Sean Lauer, 57 Minutes. 
 Documented Procedural Code Summary: 
 Description 
 Code 
 Units 
 Minutes 
 Self Care/Home Management Training 
 97185 
 10 
 Electronically authenticated. 
 Chris Temple, PT(CA Lic: 218618) 
 Signed on 2015 Apr 08 17:01:09 
 Electronically authenticated. 
 Sean Lauer, Lic. Applicant PTA 
 Signed on 2015 Apr 08 11:48:06 
 Document ID: 077524 CA.183 
 Status: Signed off (secure electronic signature) 
 Page 2 of 2 
 Sean Lauer,) Lic. Applicant PTA; Chris Temple, PT(CA Lic: 218639) 
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