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Page 1 of 6 : REF AUG 2010 SAMPLE CLINICAL Structured Reference This form is a sample for information only. Please do not use this form for your actual application. Please use the forms provided by

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How to fill out family medicine structured reference

How to fill out family medicine structured reference:

01

Gather all necessary information about the patient, including their personal details, medical history, and current medications.

02

Begin by providing an overview of the patient's chief complaint or reason for seeking medical attention.

03

Document the patient's vital signs, such as blood pressure, heart rate, temperature, and respiratory rate.

04

Conduct a thorough physical examination and describe any abnormal findings or relevant observations.

05

Include details about any diagnostic tests conducted, such as blood work, imaging studies, or special procedures.

06

Summarize the patient's medical history, including any chronic conditions, previous surgeries, or allergies.

07

Describe the management plan, including prescribed medications, recommended treatments, or referrals to specialists.

08

Ensure that all information is organized in a clear and concise manner, making it easy for other healthcare professionals to follow.

Who needs family medicine structured reference:

01

Medical practitioners in the field of family medicine who are responsible for providing comprehensive care for individuals of all ages.

02

Healthcare professionals working in primary care clinics or community health centers.

03

Patients who are seeking continuity of care and expect a detailed and accurate medical record that can be shared among multiple healthcare providers.

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