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