Download Support Tools These documentation samples are examples of the necessary components of a discharge evaluation and indicate in the sidebar the reasoning for the individual pieces needed to create the best possible note to document and relay the information essential for establishing why the patient is being discharged at this time. These samples are…
Anatomy of Periodic Re-Evaluation Documentation Samples
Download Support Tools These are documentation samples of the components necessary for a periodic re-evaluation to be noted in the patient medical record. In the sidebar you’ll find the reasoning for the individual pieces needed to create the best possible written account of how the patient in progressing. These re-evaluation documentation examples offer various formats…
This is What Great History Documentation Looks Like
This Rapid Tutorial lays out documentation samples specific to the history component of the initial visit documentation. Continue your training by seeing what an initial office visit history looks like in the context of your documentation. Remember, for this module, and the remaining modules in this course, refer to the first module that contains the…