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Click ‘Get Form’ to open the 2015 NHAMCS-173 in the editor.
Begin by entering the patient information, including the medical record number, date and time of visit, and ZIP code. Ensure accuracy as this data is crucial for identification.
Fill in the patient's demographic details such as date of birth, sex, ethnicity, and race. Use checkboxes for options like 'Hispanic or Latino' or 'Not Hispanic or Latino'.
In the Triage section, input initial vital signs including temperature and blood pressure. Mark pain levels on a scale from 0 to 10.
List reasons for the visit in order of importance. This section allows you to detail symptoms or issues that prompted the emergency visit.
Complete sections on injury/trauma if applicable, detailing circumstances surrounding any incidents leading to the visit.
Finally, review all entries for completeness before saving your work. Utilize our platform's features to ensure everything is filled out correctly.

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See more 2015 NHAMCS-173 versions

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (136 Votes)
2011	4.4 Satisfied (39 Votes)

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