Outpatient History & Physical (H&P) Presentation and Note Template
• Chief Complaint/Concern
• Subjective
• Active Past Medical History
• ER Course
• Medications
• Allergies
• Social History
• Exam
• Labs
• Imaging
• Other studies
• Assessment and Plan
- [Insert assessment here - the one-liner that also includes an ASSESSMENT of what you think is going on with the patient]
- [Insert problem, chronicity, trajectory]
- Chronic/Resolved
- Healthcare maintenance
Dr. Satya Patel @SatyaPatelMD
Pocket Card Resources: https://bit.ly/pocketcardresources
#Outpatient #SOAP #Note #SOAPNote #Template
