Physician Practice Nurse - RN Occupational Health Fisher Titus Medical CenterPhysician Practice Nurse - RN Occupational HealthNorwalk, OHPart timeAbout Fisher-Titus: Fisher-Titus proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation. Conduct physical exams, BWC visits, drug and alcohol testing, respirator fit tests, vision tests, hearing tests, blood draws, Spirometry tests, Tb screenings, vaccinations, and any other required services performed through our Occupational Health Program.
Registered Nurse (RN) - North Ridgeville Occupational Health Mercy HealthRegistered Nurse (RN) - North Ridgeville Occupational HealthLorain, OHMercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Job Summary: The Occupational Health Nurse (RN) position is responsible for delivering exceptional nursing care to patients by: Utilizing strong organizational and leadership skills to assess patient status.
Occupational Health Clinical Nurse RN - UH Lakewood Medical Center (5 days per week; 7:30a-4:00p; Mon-Fri) University Health.Occupational Health Clinical Nurse RN - UH Lakewood Medical Center (5 days per week; 7:30a-4:00p; Mon-Fri)Lakewood, OHIn this role, you'll provide care and case management for patients with acute and chronic illnesses - including COVID, Flu, and RSV - within both ambulatory and call center settings. You'll also play a key role in program development, onboarding, and interdisciplinary teamwork - making this an exciting opportunity for an RN ready to grow, collaborate, and lead with purpose.
Physician Practice Nurse - RN Occupational Health Fisher-Titus HealthPhysician Practice Nurse - RN Occupational HealthNorwalk, OhioAbout Fisher-Titus: Fisher-Titus proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation. Conduct physical exams, BWC visits, drug and alcohol testing, respirator fit tests, vision tests, hearing tests, blood draws, Spirometry tests, Tb screenings, vaccinations, and any other required services performed through our Occupational Health Program.
Registered Nurse (RN) - North Ridgeville Occupational Health Bon Secours Mercy Health IncRegistered Nurse (RN) - North Ridgeville Occupational HealthNorth Ridgeville, OHMercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Job Summary: The Occupational Health Nurse (RN) position is responsible for delivering exceptional nursing care to patients by: Utilizing strong organizational and leadership skills to assess patient status.
Physician Practice Nurse - RN Occupational Health Fisher-Titus Medical CenterPhysician Practice Nurse - RN Occupational HealthOHThe individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status and interpret the appropriate information needed to identify each patients requirements relative to their age-specific needs and to provide the care needed as described in the areas policies and procedures. About Fisher-Titus: Fisher-Titus proudly serves the greater Huron County area's 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation.
LPN, Occupational Health - Full Time Fisher Titus Medical CenterLPN, Occupational Health - Full TimeNorwalk, OHPart timeAbout Fisher-Titus: Fisher-Titus proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation. Preparing and administering medications/vaccines/immunizations, including intramuscular, intradermal, and subcutaneous injections—as directed by a physician or other licensed provider (e.g., a nurse practitioner or physician assistant).
Occupational Therapist Home Health-PRN Humana IncOccupational Therapist Home Health-PRNCleveland, OH$85,400–$117,500 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Occupational Therapist Home Health Humana IncOccupational Therapist Home HealthNorwalk, OH$85,400–$117,500 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Medical Assistant - Occupational Health Fisher Titus Medical CenterMedical Assistant - Occupational HealthNorwalk, OHPart timePerform all Occupational Health clinical tasks including but not limited to physicals, drug screens, breath alcohol testing, lab draws, vaccinations, medication administration, chart prep, electronic reporting, accurate documentation on paper and in the EMR, processing results, paperwork, faxes, referrals, and other forms required for Occ Health services. About Fisher-Titus: Fisher-Titus proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation.
LPN, Occupational Health - Full Time Fisher-Titus HealthLPN, Occupational Health - Full TimeNorwalk, OhioAbout Fisher-Titus: Fisher-Titus proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation. Preparing and administering medications/vaccines/immunizations, including intramuscular, intradermal, and subcutaneous injections—as directed by a physician or other licensed provider (e.g., a nurse practitioner or physician assistant).
Sales Manager - Occupational Health Mercy HealthSales Manager - Occupational HealthWork at Home, OHThis role is responsible for leading and developing a team of Sales Consultants to achieve organizational growth goals within occupational health and employer services. 2 years of leadership or team management experience; experience in occupational health or healthcare services (preferred).
Occupational Therapist Home Health CenterWellOccupational Therapist Home HealthNorwalk, OhioOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Occupational Therapist Home Health-PRN CenterWellOccupational Therapist Home Health-PRNNorwalk, OhioOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Medical Assistant - Occupational Health Fisher-Titus HealthMedical Assistant - Occupational HealthNorwalk, OhioPerform all Occupational Health clinical tasks including but not limited to physicals, drug screens, breath alcohol testing, lab draws, vaccinations, medication administration, chart prep, electronic reporting, accurate documentation on paper and in the EMR, processing results, paperwork, faxes, referrals, and other forms required for Occ Health services. About Fisher-Titus: Fisher-Titus proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation.
Medical Assistant - Occupational Health Fisher-Titus Medical CenterMedical Assistant - Occupational HealthOHPerform all Occupational Health clinical tasks including but not limited to physicals, drug screens, breath alcohol testing, lab draws, vaccinations, medication administration, chart prep, electronic reporting, accurate documentation on paper and in the EMR, processing results, paperwork, faxes, referrals, and other forms required for Occ Health services. About Fisher-Titus: Fisher-Titus proudly serves the greater Huron County area's 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation.
Administrative Assistant - Occupational Health Fisher-Titus HealthAdministrative Assistant - Occupational HealthNorwalk, OhioAssist clinical coordinator and clinical staff with administrative tasks required for mailing, tracking, reminders, and reporting for all Occ Health services provided; provide clerical support for the drug screening process and the random drug screening programs (DOT, DFWP, and company-specific programs) as well as maintaining compliant documentation of calibrations and training records and assisting with documentation preparation for company audits. General Summary: Supports efficient clinic operations by performing necessary administrative tasks related to Occupational Health services which include coordinating appointments and wellness events, maintaining data and reporting within the Occupational Health EMR, supporting regulatory and compliance requirements, and delivering exceptional customer service to employees, patients, and company representatives.
NewOccupational Therapist Home Health-PRN CenterWell Home HealthOccupational Therapist Home Health-PRNCleveland, OH$85,400–$117,500 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Occupational Therapist - Full Time - Home Health/Inpatient/Outpatient NOMS HealthcareOccupational Therapist - Full Time - Home Health/Inpatient/OutpatientSandusky, OhioAs an Occupational Therapist for NOMS Healthcare, you are responsible for the evaluation, planning, directing, and administering of occupational therapy modalities of treatment as prescribed by a licensed physician. You will administer treatments and occupational agents as prescribed by a referring physician in an effort to restore function and prevent disability following injury, disease or physical disability.
Occupational Therapist, Home Health: PRN Firelands Regional Medical CenterOccupational Therapist, Home Health: PRNSandusky, OHPart timeWe are locally managed and governed as a not-for-profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents. We're building a company culture that embraces the values of respect, accountability, communication, teamwork, integrity, positive attitude, continuous improvement and employee appreciation.
Administrative Assistant - Occupational Health Fisher-Titus Medical CenterAdministrative Assistant - Occupational HealthOHAssist clinical coordinator and clinical staff with administrative tasks required for mailing, tracking, reminders, and reporting for all Occ Health services provided; provide clerical support for the drug screening process and the random drug screening programs (DOT, DFWP, and company-specific programs) as well as maintaining compliant documentation of calibrations and training records and assisting with documentation preparation for company audits. General Summary: Supports efficient clinic operations by performing necessary administrative tasks related to Occupational Health services which include coordinating appointments and wellness events, maintaining data and reporting within the Occupational Health EMR, supporting regulatory and compliance requirements, and delivering exceptional customer service to employees, patients, and company representatives.
Certified Occupational Therapist Assistant COTA Home Health Elara CaringCertified Occupational Therapist Assistant COTA Home HealthAmherst, OHCounsels and instructs the patient and/or caregiver in meeting therapy and related needs, and in the therapy home exercise program providing requests for modification and clarification. We know there's no place like home, and that's why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting.
Occupational Therapist, Home Health: PRN Firelands Health CareersOccupational Therapist, Home Health: PRNSandusky, OhioWe are locally managed and governed as a not-for-profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents. We're building a company culture that embraces the values of respect, accountability, communication, teamwork, integrity, positive attitude, continuous improvement and employee appreciation.
PRN RN - Occupational Work Ramp HealthPRN RN - Occupational WorkSandusky, OHWorking collaboratively with the lead nurse and site safety team, you’ll provide first aid, health education, and preventive services to help workers stay safe, healthy, and engaged. This role is ideal for a nurse who enjoys hands-on, relationship-based work—someone who’s comfortable being visible on site, engaging with workers, and providing approachable, trusted care in an outdoor construction environment.
Occupational Therapist (OT) Boost Home Healthcare - Northeastern OhioOccupational Therapist (OT)Avon, OHGraduate of an Occupational Therapy curriculum accredited by the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Occupational Therapy Association (AOTA) and /or certified by successfully completing the National Certification examination, -or-. As a member of our team, you’ll play a key role in providing quality home healthcare, where patients are able to remain independent at their place of residence in the healthiest and happiest state of being possible.
Occupational Therapist PRN/PT North Royalton Post AcuteOccupational Therapist PRN/PTNorth Royalton, OhioRecord evaluations, daily treatment notes, weekly progress notes, recertification documentation, per Occupational Therapy Board State Practice Act and governmental and third party payer requirements. Recommend and facilitate the ordering of necessary durable medical equipment for patients to facilitate independence in mobility; i.e., braces, walkers, canes, elevated toilet seats and grab bars.
Certified Occupational Therapist Assistant (COTA) Life Care Centers of America IncCertified Occupational Therapist Assistant (COTA)Elyria, OHSit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours. Liaisons with patients, families, support departments, etc., to adequately plan for patient needs.
Occupational Therapist, OT, Senior Living Bayada Home Health Care, Inc.Occupational Therapist, OT, Senior LivingParma, OHAs a home care Occupational Therapist, you will be an integral member of a multi-disciplinary health care team that provides rehabilitative care and skilled nursing to clients, affording them the opportunity to receive the medical care required to remain at home. Perform thorough evaluations of patients' functional status, including muscle function, endurance, visual coordination, written and verbal communication skills, and ADL and IADL performance.
Occupational Therapist (Cleveland) Constellation SchoolsOccupational Therapist (Cleveland)Cleveland, OhioFounded in 2001, Constellation Schools grew out of a community’s desire to offer an educational choice that balanced academic achievement with life skills, character education, and social-emotional learning. Over the years, Constellation Schools garnered many awards including the US Department of Education’s Blue Ribbon award and multiple School of Promise and Momentum awards from the Ohio Department of Education.
Occupational Therapist / OTR - Part-time AEGIS TherapiesOccupational Therapist / OTR - Part-timeEdgewater, IowaAegis Therapies , one of the nation’s leading providers of rehabilitation and wellness services, is hiring an Occupational Therapist to join our supportive team and reap the benefits of some of the best career advantages in the industry. Flexibility - Redefining Work-life Balance: We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living.
NewOccupational Therapist / OTR - PRN AEGIS TherapiesOccupational Therapist / OTR - PRNEdgewater, IowaAegis Therapies , one of the nation’s leading providers of rehabilitation and wellness services, is hiring an Occupational Therapist to join our supportive team and reap the benefits of some of the best career advantages in the industry. Flexibility - Redefining Work-life Balance: We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living.
Licensed Occupational Therapist (OT) PRN EmpowerMe WellnessLicensed Occupational Therapist (OT) PRNStrongsville, Ohio$51–$55 / hourPer diemGuided by our mission of improving the lives of seniors and the communities they call home, our therapists are at the heart of this purpose — delivering care with meaning, building trusted relationships, and shaping the future of senior wellness every day. Through our EmpowerMe 360 program, we bring together therapy, pharmacy, and medical care to help residents live stronger, safer, and more independent lives.
Occupational Therapist (OT) - Amherst Outpatient Rehabilitation & Therapy Mercy HealthOccupational Therapist (OT) - Amherst Outpatient Rehabilitation & TherapyLorain, OHX Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. They perform patient evaluations and re-evaluations, establish patient treatment plans based on the referral from the physician/referral source (if required), and document the patients' care and direct supportive staff regarding treatment process.
Certified Occupational Therapy Assistant - COTA Trilogy Health Services LLCCertified Occupational Therapy Assistant - COTAOHIf you're looking for a place that embraces you for who you are, helps you achieve your full potential, and makes working hard feel less like hard work, then look no further than Synchrony. Assist in carrying out treatment plans developed by occupational therapists, including therapeutic exercises, activities of daily living (ADL) training, and other interventions.
Certified Occupational Therapy Assistant (COTA) ProHealth PartnersCertified Occupational Therapy Assistant (COTA)Sandusky, OhioLocation: Erie, Huron, and Lorain Counties ProHealth Partners, Inc. currently has Part COTA opportunities available in the Sandusky/Lorain service area to treat and service home bound patients. With our corporate office located in Perrysburg, Ohio, we currently service Northwest, Ohio, the Greater Cleveland, Ohio area, as well as Southeast Michigan.
Occupational Therapist - Lorain Hospital (PRN) Mercy HealthOccupational Therapist - Lorain Hospital (PRN)Lorain, OHX] Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patients status and interprets the appropriate information needed to identify each patients requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. | Frequency | 0% | 1-33% | 34-66% | 67-100% | |: --- |: ---: |: ---: |: ---: |: ---: | | Lifting/ Carrying (0-50 lbs.) | | x | | | | Lifting/ Carrying (50-100 lbs.) | | x | | | | Push/ Pull (0-50 lbs.) | | x | | | | Push/ Pull (50-100 lbs.) | | x | | | | Stoop, Kneel | | | x | | | Crawling | | | x | | | Climbing | | | x | | | Balance | | | x | | | Bending | | | x | |.
Occupational Therapist Assistant (COTA), Rehabilitation LifePoint Health IncOccupational Therapist Assistant (COTA), RehabilitationAvon, OHOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. An Occupational Therapist Assistant who excels in this role: Under guidance of supervising OTR/L: Acquires pertinent information and implements comprehensive program using varied techniques and treatment activities; reviews and modifies treatment in response to changing patient needs; identifies equipment and discharge needs.
Occupational Therapist (OT) - Inpatient & Outpatient Float - Lorain Market Bon Secours Mercy Health IncOccupational Therapist (OT) - Inpatient & Outpatient Float - Lorain MarketAmherst, OHX Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. They perform patient evaluations and re-evaluations, establish patient treatment plans based on the referral from the physician/referral source (if required), and document the patients' care and direct supportive staff regarding treatment process.
Occupational Therapist Assistant (COTA), PRN LifePoint Health IncOccupational Therapist Assistant (COTA), PRNAvon, OHOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. An Occupational Therapist Assistant who excels in this role: Under guidance of supervising OTR/L: Acquires pertinent information and implements comprehensive program using varied techniques and treatment activities; reviews and modifies treatment in response to changing patient needs; identifies equipment and discharge needs.
Occupational Therapist (OT), PRN LifePoint Health IncOccupational Therapist (OT), PRNAvon, OHOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. An Occupational Therapist is responsible for evaluating patients and developing treatment plans that promote the ability to perform daily activities and improve functional independence.
Occupational Therapist (OT) The Stepping Stones Group LLCOccupational Therapist (OT)OHCenter-Based ABA Therapy. Summer Intensive Program.
Charter School - Occupational Therapist (OT) The Stepping Stones Group LLCCharter School - Occupational Therapist (OT)Lorain, OHCenter-Based ABA Therapy. Summer Intensive Program.
Occupational Therapist - OP Neuro MetroHealthOccupational Therapist - OP NeuroCleveland, OHFrequently (25-75% of the time) performed tasks: Standing, sitting with and without back support, walking, reaching (overhead, forward, lateral, and low), crouching, balancing, lifting 5-25 pounds, carrying 5-10 pounds, and pushing up to 75 pounds . Qualifications: Required: Bachelor's Degree, Master's Degree, or post-graduate certificate in Occupational Therapy from a school accredited by the American Occupational Therapy Association (AOTA) .
NewOccupational Therapist - Peds Autism MetroHealthOccupational Therapist - Peds AutismParma, OHFrequently (25-75% of the time) performed tasks: Standing, sitting with and without back support, walking, reaching (overhead, forward, lateral, and low), crouching, balancing, lifting 5-25 pounds, carrying 5-10 pounds, and pushing up to 75 pounds. Qualifications: Required: Bachelor's Degree, Master's Degree, or post-graduate certificate in Occupational Therapy from a school accredited by the American Occupational Therapy Association (AOTA).
Certified Occupational Therapy Assistant - COTA Kingston Health Center of VermilionCertified Occupational Therapy Assistant - COTAVermilion, OhioIf you’re looking for a place that embraces you for who you are, helps you achieve your full potential, and makes working hard feel less like hard work, then look no further than Synchrony. • Assist in carrying out treatment plans developed by occupational therapists, including therapeutic exercises, activities of daily living (ADL) training, and other interventions.
Occupational Therapist – Lorain Supplemental Health CareOccupational Therapist – LorainLorain, OHPart timeIf you're ready to help students shine, grow your skills, and enjoy a great work-life balance,?apply now?and let's get started! Supplemental Health Care is partnering with a fantastic school district to hire an Occupational Therapist?who's excited to help kids succeed.
Occupational Therapist – Parma Supplemental Health CareOccupational Therapist – ParmaParma, OHPart timeIf you're ready to help students shine, grow your skills, and enjoy a great work-life balance,?apply now?and let's get started! Supplemental Health Care is partnering with a fantastic school district to hire an Occupational Therapist?who's excited to help kids succeed.
Occupational Therapist – Long Term Acute Care Supplemental Health CareOccupational Therapist – Long Term Acute CareCleveland, OHFull timeSupplemental Health Care is connecting Occupational Therapists with Long Term Acute Care Facility contracts in Cleveland, Ohio - offering flexibility, support, and opportunities designed around you. *Estimated weekly payment may include both taxable wages and tax-free reimbursements for meals, housing, and incidentals.
Occupational Therapist - Inpatient Crystal Clinic Orthopaedic CenterOccupational Therapist - InpatientFairlawn, OHSchedule: Tuesday and Wednesday 7:00 AM - 5:30 PM; alternating week Tuesday and Saturday 7:00 AM - 5:30 PM Status: Part-time Build Your Career with Crystal Clinic Orthopaedic Center At Crystal Clinic, people come first-patients and team members alike. Technical Skills: N/A Certifications/Licenses/Registrations: Current license to practice as an Occupational Therapist in the state of Ohio; issued by the Ohio Occupational Therapy, Physical Therapy, Athletic Trainers Board.
Occupational Therapy Assistant: Hrly, FT Firelands Health CareersOccupational Therapy Assistant: Hrly, FTSandusky, OhioWe are locally managed and governed as a not-for-profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents. Under the supervision of an Occupational Therapist, provides occupational therapy services, re-assessing the patient’s status on each visit, and ensuring quality of care as evidenced in the clinical record.