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Templates to help you organize your patient encounters
Use a hash mark [ / ] or check mark [ √ ] if asked and negative. Circle the element if positive and describe in the allotted space. Tally your marks and correlate with the coding chart to arrive at the appropriate E/M visit code.  There is a mock up on the Sample Forms page. Work rounds will be more organized and allow for faster presentations. Info can be entered in the EHR at your leisure should you have any leisure.
Remember Do Not put the patient's name on the work sheets. Use their date of birth and initials as the only identifier, and shred when done.



MEDICAL STUDENT
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Effective Visit

Effective Visit



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Work Rounds

Work Rounds

To do list


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Outpatient Visit

Outpatient Visit


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Comprehensive ROS

Review of Systems


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What is a Medical Visit

Medical Visit

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SOAP Note

SOAP Note


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Common Codes

Common Codes

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Injury Report


Injury Report


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Geriatric Screening

Geriatric Assessment


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Depression Screening

Depression Screening


copyright © June 8, 1998 Theodore Christou, MD

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