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University of Utah Department of Physical Therapy Students Pro Bono Clinical: Pt Name: Diagnosis: Referred by: Visit #: Time in:KNEE EVALUATION FORM Pt Number:Time out:Patient Information: Patient
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How to fill out patient profile

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To fill out a patient profile, follow these steps:
02
Start by collecting the basic information of the patient, such as their full name, date of birth, and gender.
03
Include contact details, such as phone number, email address, and residential address.
04
Ask for relevant medical information, such as any pre-existing conditions, allergies, and current medications.
05
Include emergency contact information, including the name and phone number of a trusted individual.
06
Request insurance details, if applicable, including the name of the insurance provider and policy number.
07
Provide a section for the patient to list their primary care physician and any specialists they are seeing.
08
Include a medical history section where the patient can provide details about past surgeries, hospitalizations, or chronic illnesses.
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Finally, ensure that the patient profile is stored securely and accessible only to authorized medical personnel.

Who needs patient profile?

01
A patient profile is needed by various healthcare professionals, including:
02
- Doctors: Patient profiles help doctors to have a complete understanding of a patient's medical history, allergies, and current medications, aiding them in making accurate diagnoses and treatment plans.
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- Nurses: Nurses use patient profiles to provide personalized and appropriate care, considering the patient's specific needs and medical history.
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- Pharmacists: A patient profile informs pharmacists about any allergies or adverse drug reactions, enabling them to dispense medications safely.
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- Emergency Medical Technicians (EMTs): EMTs may need access to a patient's profile to provide appropriate and timely medical treatment during emergencies.
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- Medical Researchers: Patient profiles can be valuable sources of data for medical research, enabling scientists to study various health conditions and identify patterns or trends.
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A patient profile is a compilation of a patient's medical information, including their medical history, medications, allergies, and other relevant data.
Healthcare providers and facilities are required to file patient profiles for each individual under their care.
Patient profiles are typically filled out by healthcare professionals during the patient's visit or at the time of admission to a healthcare facility.
The purpose of a patient profile is to provide a comprehensive summary of the patient's medical information, ensuring that healthcare providers have access to relevant data when making treatment decisions.
Information such as medical history, current medications, allergies, previous treatments, and contact information must be included in a patient profile.
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