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> make a checklist for patient's chart review
make a checklist for patient's chart review
Patient Information
Verify patient's name and date of birth
Confirm patient's contact information
Check insurance information
Review medical history
Medication Review
List all current medications
Note any allergies or adverse reactions
Identify any medication discrepancies
Vital Signs
Check latest blood pressure reading
Review heart rate and respiratory rate
Note any abnormal findings
Lab Results
Review recent blood work
Check imaging results
Note any abnormal findings or concerns
Assessment and Plan
Review current diagnosis
Note any changes in treatment plan
Document any pending follow-up appointments
Provider Communication
Check for recent provider notes
Review any communication with other healthcare professionals
Note any outstanding issues or concerns
Patient Education
Document any patient education provided
Review patient understanding of treatment plan
Identify any additional resources needed
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