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Child's Name:DOB:NHS No:. Safeguarding Children Medical Proforma 20.1. Safeguarding children medical proforma INDEX CASE / SIBLING NHS number Surname Other surnames First name Date of birth Sex Tell
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How to fill out medical proforma - rcpch
How to fill out a medical proforma:
01
Start by obtaining a medical proforma form from a healthcare facility or downloading it from their website.
02
Begin by filling out the patient's general information, such as their full name, date of birth, and contact information.
03
Provide details about the patient's medical history, including any pre-existing conditions, previous surgeries, allergies, and current medications.
04
Record vital signs such as blood pressure, heart rate, temperature, and respiratory rate accurately.
05
Document any symptoms or complaints the patient may have, along with their onset and duration.
06
Include a comprehensive review of systems, covering various body systems and highlighting any abnormalities or concerns.
07
If applicable, fill out sections regarding the patient's family history, social history, and occupational history.
08
If the medical proforma includes a physical examination section, perform a thorough examination and record your findings in detail.
09
Provide a provisional diagnosis or impression based on the information gathered and examinations conducted.
10
Finally, sign and date the medical proforma to certify that the information provided is accurate and complete.
Who needs a medical proforma?
01
Patients seeking medical care at healthcare facilities such as hospitals, clinics, or private practices require a medical proforma.
02
Healthcare professionals, including doctors, nurses, and allied health practitioners, utilize medical proformas to gather and record essential medical information.
03
Medical institutions and organizations maintain medical proformas as part of a patient's medical record, ensuring proper documentation and continuity of care.
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