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Date 03/23/09 Tustin Irvine Medical Group Page 2 <br />- ~ f;11~). ~x <br />Company: CITY OF SANTA ANA - EXPOSURES/LYNN HW1 <br />I'.O. BOX 1988, M-41 <br />S:~N"I'A ANA, CA 92702 <br />Pr loco]: t : ~ I'OSURE S <br />90718-A 907 : S-A "Tetanus & Diptheria Absorbed/Adult WC 40.00 <br />90716 VXvaricclla VARICELLA/Chicken Pox Vaccine 135.00 <br />AG260 OV WoundClur WOUND CLEANSER, ANY TYPE 20.00 <br />81001 I,~~' ~''~? 18 URINALYSIS WITH MICRO 10.00 <br />71020 X:~::.~est2v XR CI-TEST 2 VIEWS 60.00 <br />Other: _ Fax: <br />Special Instructions: <br />FRONT OFFICE: FAX .1 S0 (MARKED .XI'OSURE) AND OTHER PAPERWORK TO LYNN HWANG <br />AT ABOVE NUMBER. TI:L:N E-MAIL LYyN I IWANG WITH 1FORMATION ABOUT THE <br />EXPOSURE. <br />BACK OFFICE: FOR BI i'UDBORNI PA" 1 fOGEN EXPOSURES ALWAYS DO BLOODWORK. THIS <br />SHOULD INCLUDE A CI;'', CMP, HEP A L, AND HIV. IF WITHIN THE GOLDEN HOUR AND <br />DOCTOR WANTS TO DIS ENSE COMBIVIR, YOU MAY GIVE THE EXPOSED EMPLOYEE ONE OR <br />TWO PILLS. TI-IF, REMA' `ER OF THI? '" ?\' i [DS TO BE CALLED INTO THE PHARMACY. <br />MEDICATIONS: WI-I IsN ~:: ~LLING IN M 1: i ~ 1 C;1"PION TRY 'I'O USE RITE-AID , SAV-ON OR <br />WALGREENS. MAK]? A ? " TE OF THE I': ,;'.!?'~.1ACY NUMBER IN THE PATIENT'S FILE AND ON THE <br />FRONT SCREEN OI~' "11 I : ~: X)MPLU'I'E FO:; ; U PURE USE. ALSO GET TAE PI~IARMACY'S FAX <br />NUMBER SO THAT DE1~9 c GRAPHICS AI`, D BILLING/CLAIM INFORMATION CAN BE FAXED TO <br />THEM. <br />