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