Examples of Initial Assessments The following examples of initial assessments are provided for educational purposes only. A robust initial assessment sets the tone for the treatment episode. These samples include various prognostic factors and demonstrate how they can be incorporated into your initial visit documentation. The examples include language that supports the Medical Decision Making…
The Mechanics of Initial Assessment
Initial Note: Where Everything Comes Together Assessments are what separate physicians from technicians. The assessment portion of the initial note is where everything comes together. Despite common belief, the assessment is not simply the diagnosis and treatment plan, although both do play a role in its formation. It is much more than that. The assessment…