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For Dx/CC Date of Service Pt Name Address City State Zip SSN Age DOB Sex Weight Phone UVA Hx UVA Account Starting Loaded Miles Ending Loaded Miles Vehicle Dispatch Enroute Arrive 1 Depart 1 In Service Driver Miles H HPI PMHx Medications A Assessment R Treatment T Transport Time BP Pulse Resp. SaO2 GCS Race White Black Other Incident Occurred City/County of Incident Trauma Score of CRAMS Score Patient Condition Treatment Response Agency Numb...
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How to fill out uva medic 5

How to fill out uva medic 5:
01
Gather all necessary personal information, such as full name, date of birth, and contact details.
02
Provide accurate medical history, including any previous diagnoses, medications taken, and surgeries.
03
Fill out the sections pertaining to current symptoms or complaints in detail, providing specific information about the onset, location, and severity of each.
04
Complete the section on allergies, listing any known allergies and their reactions.
05
Include a detailed list of current medications being taken, including dosage and frequency.
06
Fill out the section on past medical history, including any chronic conditions or significant illnesses.
07
Complete the section on family medical history, providing information on any hereditary diseases or conditions.
08
If applicable, ensure all necessary lab or test results are attached and documented appropriately.
09
Review the entire form for accuracy and completeness before submitting it.
Who needs uva medic 5:
01
Patients visiting the UVA Medical Center who require medical attention or treatment.
02
Individuals who are seeking medical assistance at the UVA emergency department.
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Those who are participating in clinical trials or research studies conducted by the UVA Medical Center.
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Patients who are undergoing outpatient procedures or surgeries at the UVA Medical Center.
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Individuals who have been referred to UVA Medical Center by their primary care physician or another healthcare provider.
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What is uva medic 5?
UVA Medic 5 is a form used by the University of Virginia to report medical student activity during clinical rotations.
Who is required to file uva medic 5?
All medical students at the University of Virginia are required to file UVA Medic 5 for each clinical rotation they complete.
How to fill out uva medic 5?
To fill out UVA Medic 5, medical students need to provide information such as the date of the clinical rotation, the name of the attending physician, the location of the rotation, and details of the procedures or cases encountered.
What is the purpose of uva medic 5?
The purpose of UVA Medic 5 is to track and document medical student activity during clinical rotations, ensuring that students gain the necessary hands-on experience and meet educational requirements.
What information must be reported on uva medic 5?
UVA Medic 5 requires medical students to report the date of the rotation, the attending physician's name, the location of the rotation, the procedures or cases encountered, and any additional comments or reflections.
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