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