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.

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    • [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

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    • [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 …

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    • [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

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    • [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

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    • [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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