The clinic history and physical (clinic H&P) MedicalTemplate is suitable for internal medicine physicians, family practice physicians, and other health care providers.
Template Features
* E&M Documentation Template
* Digital Health Record
* Reminders
o Follow Up
o Referral
o Labs
o Therapeutic options
o Medicare PQRI
E & M Documentation Template
The clinic H&P MedicalTemplate contains prompters and space for all the required elements for a E&M encounter.
* History
o Chief complaint
o History of present illness
o Past medical and surgical history
o Social history
o Family history
o Review of systems
* Examination
* Medical Decision Making
o Review of data (labs, tests, imaging, old records)
o Assessment and plan
Digital Health Record
The clinic H&P MedicalTemplate functions like all other PDF files, but they have editable text fields and working checkboxes. This allows information to be typed in or pasted from other applications to fill out the template.
Filled clinic H&P MedicalTemplates can be printed and saved to a computer, USB drive, CD, DVD, or other storage device to create a digital health record for your patients.