Your checklists (
0
)
AI Checklist Generator
From the makers of
Manifestly Checklists
Sign in
Email address
Email me a magic link
Home
> screening performa
screening performa
Patient Information
Verify patient name
Confirm date of birth
Check contact information
Record medical record number
Medical History
Review past medical conditions
Document current medications
Note any allergies
Assess family medical history
Screening Criteria
Confirm eligibility for screening
Assess risk factors specific to the screening
Review previous screening results
Determine frequency of screening required
Consent and Understanding
Ensure informed consent is obtained
Explain the screening process to the patient
Answer any questions from the patient
Document consent in the medical record
Logistics
Schedule the screening appointment
Confirm location and time with the patient
Provide pre-screening instructions if applicable
Ensure necessary equipment and materials are ready
Follow-Up
Plan for results communication
Schedule follow-up appointments if necessary
Document follow-up procedures
Educate patient on next steps post-screening
Download CSV
Download JSON
Download Markdown
Use in Manifestly
Use in Manifestly