Correct template as appropriate Interventions Provided Staff notification if needed Allergies noted RAD Complete Assessment findings listed and appropriate Parent contact information documented Athletic clearance if appropriate Medication administration details Student's verbal description noted Out time Clear discharge instructions VS recheck recorded as appropriate Parent notification documented Chief complaint recorded No abbreviations Return to class/dismissed early Documented Billable duration 5 minutes + Follow up plan documented Student's response to treatment VS recorded as appropriate Treatment authorization verified In Time Parent Name documented IHP referenced Procedure details recorded Health history referenced Parent contact attempt and times Confidentiality maintained Clinic visit outcome provided Correct template as appropriate Interventions Provided Staff notification if needed Allergies noted RAD Complete Assessment findings listed and appropriate Parent contact information documented Athletic clearance if appropriate Medication administration details Student's verbal description noted Out time Clear discharge instructions VS recheck recorded as appropriate Parent notification documented Chief complaint recorded No abbreviations Return to class/dismissed early Documented Billable duration 5 minutes + Follow up plan documented Student's response to treatment VS recorded as appropriate Treatment authorization verified In Time Parent Name documented IHP referenced Procedure details recorded Health history referenced Parent contact attempt and times Confidentiality maintained Clinic visit outcome provided
(Print)
Correct template as appropriate
Interventions Provided
Staff notification if needed
Allergies noted
RAD Complete
Assessment findings listed and appropriate
Parent contact information documented
Athletic clearance if appropriate
Medication administration details
Student's verbal description noted
Out time
Clear discharge instructions
VS recheck recorded as appropriate
Parent notification documented
Chief complaint recorded
No abbreviations
Return to class/dismissed early Documented
Billable duration 5 minutes +
Follow up plan documented
Student's response to treatment
VS recorded as appropriate
Treatment authorization verified
In Time
Parent Name documented
IHP referenced
Procedure details recorded
Health history referenced
Parent contact attempt and times
Confidentiality maintained
Clinic visit outcome provided
