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