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This manual outlines the procedures for data collection and reporting of clinic visits at Washington State Sexual & Reproductive Health Network agencies. It specifies the requirements and criteria for submitting a Clinic Visit Record (CVR), detailing the necessary data elements, submission protocols, and the impact of this data on funding allocations.
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How to fill out clinic visit record

01
Begin by entering the date of the clinic visit at the top of the record.
02
Fill in the patient's full name and date of birth.
03
Record the reason for the visit, including any symptoms or concerns.
04
Document the patient's medical history relevant to the visit.
05
Note any medications the patient is currently taking.
06
Include vital signs (e.g., blood pressure, heart rate) taken during the visit.
07
Write down the physical examination findings.
08
Specify any diagnostic tests ordered or performed during the visit.
09
Describe the treatment plan or recommendations given to the patient.
10
Ensure to include follow-up instructions or schedule any necessary follow-up appointments.

Who needs clinic visit record?

01
Patients visiting healthcare facilities for regular check-ups or specific health concerns.
02
Healthcare providers who need to track patient visits and treatments.
03
Administrative staff for billing and insurance purposes.
04
Researchers studying health trends and outcomes.
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A clinic visit record is a document that captures details of a patient's visit to a healthcare facility, including the reason for the visit, services provided, and the patient's medical history.
Healthcare providers and clinics are required to file clinic visit records to maintain accurate patient care documentation and comply with regulatory requirements.
To fill out a clinic visit record, it is important to enter the patient's personal information, reason for the visit, services provided, diagnoses, treatment plans, and any follow-up instructions.
The purpose of a clinic visit record is to ensure proper documentation of patient care, facilitate medical continuity, and serve as a legal record of the visit.
Information that must be reported includes the patient's name, date of visit, reason for visit, healthcare provider's notes, diagnoses, treatments administered, and any referrals made.
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