INITIAL OFFICE VISIT: Fill out & sign online

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out INITIAL OFFICE VISIT with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the INITIAL OFFICE VISIT document in the editor.
Begin by filling out the 'Patient Information Sheet' section. Enter your name, age, sex, who referred you, and today's date.
In the 'Current Problems' section, list your chief complaints or symptoms. Use bullet points for clarity.
Proceed to 'History of Present Illness.' Note the date of initial symptoms and provide details if applicable.
For 'On the Job/Personal Injury History,' indicate if you're being evaluated for an injury and provide relevant details if necessary.
Continue through sections on prior treatment, activity limitations, past medical history, medications, family history, and personal/social history. Ensure all fields are completed accurately.
Review your entries for accuracy before saving or submitting the form using our platform's features.

Start filling out your INITIAL OFFICE VISIT form today for free and experience seamless document management!

See more INITIAL OFFICE VISIT versions

We've got more versions of the INITIAL OFFICE VISIT form. Select the right INITIAL OFFICE VISIT version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (145 Votes)
2015	4 Satisfied (46 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

What is considered a new patient office visit?

What is included in an office visit? The purpose of an office visit is to discuss, evaluate, and treat a SPECIFIC health concern or condition or chronic problem that has changed. This type of visit may include lab work, X-rays or additional tests related to your health concern.

What is an initial office visit?

Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making.

What is the difference between 99203 and 99204?

Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter.

What does new patient visit mean?

A new patient is one who has not received any professional services, [e.g., E/M service or other face-to-face service (e.g., surgical procedure)] from the physician or physician group practice (same physician specialty) within the previous 3 years.

Whats the difference between initial visit and subsequent visit?

A new patient is one who has not received professional service from the physician or another physician of the same specialty in the same group within the past 3 years.