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Patient Name: ___ D.O.B: ___Date of Service: ___ OFFICE TALLCHIEF COMPLAINT/HP: PAST MEDICAL HISTORY: VITALS BP: ALLERGIES/PHYSICAL EXAMPLE:WALES:TEMP:BMI:Medications initialed below have been reviewed
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How to fill out physical exam wnl abn
01
Begin by gathering all necessary forms and documentation required for the physical exam.
02
Ensure that the patient is properly prepared for the exam by instructing them to wear comfortable clothing and remove any unnecessary accessories.
03
Record the patient's basic vital signs such as blood pressure, temperature, pulse rate, and respiratory rate.
04
Perform a comprehensive head-to-toe physical examination, documenting any abnormalities or concerns encountered during the process.
05
Discuss the findings with the patient and provide any necessary recommendations or referrals for further evaluation or treatment.
06
Complete all necessary paperwork and ensure that the physical exam results are accurately documented in the patient's medical record.
Who needs physical exam wnl abn?
01
Individuals who are required to undergo a physical exam for pre-employment screening purposes.
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Patients who are presenting with specific symptoms or medical concerns that necessitate a thorough physical examination.
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Athletes or individuals participating in organized sports activities who need to provide proof of physical fitness.
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Individuals who are seeking medical clearance for certain procedures or treatments.
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