Family Medicine Template

RN - Nurse Intake

A professional Family Medicine template for healthcare professionals.

Family MedicineSOAP

Preview template

  • Subjective

    [This is the nursing intake section which should verify medication doses, frequency, pharmacy and lab preferences, as well as abnormal vital signs like blood pressure which should be manually rechecked. For each health issue discussed, provide a very concise set of history, patient concerns, and progress since the last visit in story format. Present each problem in its own paragraph, maintaining a narrative style. Include current symptoms, history, medication use or changes, other specialists visited, and a brief summary of any concerns related to that specific problem.]

  • Subjective

    [This is the nursing intake section which should verify medication doses, frequency, pharmacy and lab preferences, as well as abnormal vital signs like blood pressure which should be manually rechecked. For each health issue discussed, provide a very concise set of history, patient concerns, and progress since the last visit in story format. Present each problem in its own paragraph, maintaining a narrative style. Include current symptoms, history, medication use or changes, other specialists visited, and a brief summary of any concerns related to that specific problem.]

  • Suggestions

    [In this section, when specific topics are noted such as diabetes control, obesity, lifestyle management, coping skills with anxiety or depression, make suggestions for the nurse to consider in this and future appointments regarding which counseling can be provided, methods to improve their delivery of care, and responses to patient questions, particularly when extra items get brought up that will make the appointment even longer]

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How to use this template

This comprehensive new patient template helps establish care by capturing complete medical history, current concerns, and baseline health status. Use this for patients during their initial visit to create a thorough medical record.

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