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