Printable family history medical chart
[DOC File]Answer Key - Worksheets - Content of the Patient Records ...
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7. According to the JCAHO, a physician's office history can be copied and placed on an inpatient record if it dated within _____ of admission. General (includes vital signs) HEENT, Chest, etc., Lab Data, Plan for Admission, Impression, etc. 8. List three contents of a physical exam report. 24 9.
[DOC File]FOLLOW-UP NOTE
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___Nature of diagnosis and/or prognosis ___ Medical records reviewed ___Aspects of aging process and relationship to the current problem ___Communication with patient’s Dr ___Nature of possible treatment options/drug drug interaction ___Communication with facility staff
[DOC File]www.acponline.org
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Medical Record Number: _____ Date Medication Dose/Route. Frequency daily bid tid qid nightly prn daily bid tid qid nightly prn daily bid tid qid nightly prn daily bid …
[DOC File]Family Practice History and Physical
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Title: Family Practice History and Physical Author: Paul M. Henderson, MD Last modified by: user Created Date: 5/8/2003 2:49:00 PM Other titles: Family Practice History and Physical
[DOC File]American College of Physicians | Internal Medicine | ACP
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Medical Record Number: _____ Date: _____ Past Medical History. Past Surgical History. Immunizations ( See Adult Summary Form ( See Adult Summary Form ( See Health Maintenance Flowsheet. Social History Nutritional/Exercise Assessment. Tobacco Marital Status Typical Breakfast
[DOC File]PATIENT HISTORY FORM - Johns Hopkins Hospital
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FAMILY HISTORY. If living. If deceased. Age (s) Health & Psychiatric. Age(s) at death. Cause. Father. Mother. Siblings. Children. EXTENDED FAMILY PSYCHIATRIC PROBLEMS PAST & PRESENT: Maternal Relatives: Paternal Relatives: Systems Review In the past month, have you had any of the following problems? General NERVOUS SYSTEM PSYCHIATRIC
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