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