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General Physical Form To be completed by the patient Today's Date: Name: DOB: First Middle Last Primary Care Physician (PCP): Office Phone #: Preferred Pharmacy: Phone #: Fax #: Pharmacy Address:
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How to fill out general history amp physical

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How to fill out general history amp physical

01
Step 1: Gather the necessary information such as the patient's personal details, medical history, and any current medications they are taking.
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Step 2: Begin by documenting the patient's chief complaint or reason for seeking medical attention.
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Step 3: Conduct a thorough review of systems by asking the patient about their general health, including any past illnesses or surgeries.
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Step 4: Perform a detailed physical examination, including vital signs, auscultation, palpation, and any specific assessments related to the patient's complaint.
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Step 5: Record the findings from the physical examination, noting any abnormalities or significant observations.
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Step 6: Summarize the patient's medical history, including any chronic conditions, allergies, or significant family history.
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Step 7: Document any diagnostic tests or procedures that have been performed or are planned for the patient.
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Step 8: Formulate an assessment and plan, including any diagnoses, treatments, or referrals that are necessary.
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Step 9: Review the completed history and physical, ensuring all sections are complete and accurate.
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Step 10: Sign and date the document, indicating your completion of the general history and physical form.

Who needs general history amp physical?

01
General History and Physical forms are typically required for patients who are seeking specialized medical care, such as surgical procedures or specialized treatments.
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It is also commonly used in hospital admissions, where a comprehensive assessment of the patient's overall health is necessary.
03
Insurance companies may also require a general history and physical form before approving certain medical services or procedures.
04
Additionally, employers may request a general history and physical examination as part of pre-employment screening or occupational health assessments.
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General history amp physical is a documentation of a patient's past medical history, current symptoms, and physical examination findings.
Healthcare providers, such as doctors, nurses, or physician assistants, are required to fill out and file general history amp physical for their patients.
General history amp physical should be filled out by interviewing the patient about their medical history, conducting a physical examination, and documenting all findings accurately.
The purpose of general history amp physical is to provide healthcare providers with a comprehensive overview of a patient's health status, which helps in diagnosis, treatment planning, and monitoring.
Information such as past medical history, family history, current symptoms, physical examination findings, medications, allergies, and social history must be reported on general history amp physical.
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