Medical visit form 2025

1. Click ‘Get Form’ to open the medical visit form in the editor.
2. Begin by entering the AFC Member’s Name and Visit Date at the top of the form. This information is crucial for identifying the patient and tracking their visit.
3. Next, fill in the Last Vital Signs section. Input the date, pulse, temperature (Temp), blood pressure (BP), respiratory rate (Resp), and weight (Wt.). Ensure accuracy as these metrics are vital for medical assessment.
4. Indicate whether the medication list has been updated by selecting 'Yes' or 'No'. This helps physicians understand current treatments.
5. In the Reason for Doctor Visit section, clearly state any concerns or questions you have. This will guide your physician during your appointment.
6. Leave space for physician notes under 'To be Completed by the Physician', where they will summarize your visit and provide new orders or referrals as necessary.
7. Finally, ensure that both you and your physician sign and date the form before faxing it to Community Services AFC RN at (978)313-6664 immediately after your visit.

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