W o u n d R e s c u e S p e c i a l i s t
2675 S JONES BLVD, STE 102 LAS VEGAS, NV 89146-5607
Phone: 888-808-1403
Fax: 775-902-2924
Mon-Fri (9am - 5pm)

Intake Information

Section1: Patient Information

Section2: Physician Information

Section3: Care Person

Section4: Referral By

Section5: Insurance Information

Section6: Facility Information

Diagnosis

ICD-9

Services