physical assessment documentation example
Health Care Practitioner Physical Assessment Form
This form is to be completed by a primary physician, certified nurse practitioner, registered nurse, certified nurse- midwife or physician assistant
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Behavioral Health Toolkit for Primary Care Providers
All members age 18 and older who complete a physical or behavioral health outpatient visit must complete depression screening even in the absence of symptoms.
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SOAP Notes Format in EMR
O: (listed are the components of the all normal physical exam). General: Well appearing, well nourished, in no distress. Oriented x 3, normal mood and affect
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