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Doc-U-Chart Paper Template Charting System — Family Practice

Abdominal and GI Symptoms

Abdominal and GI Symptoms, Female

Abdominal Symptoms, Pediatric

ADD and Psych F/U Adolescent

ADD and Psych F/U Child

Breast Symptoms

Breast Symptoms, Adolescent

Cardiovascular Follow Up

Chest Pain and Palpitations

Depression and Anxiety Follow Up

Diabetes Follow Up

Dizzy and Vertigo

Fatigue, Dizzy, Malaise, Pediatric

Eye Symptoms

Eye Symptoms, Pediatric

Fatigue, Weakness, Malaise

General Exam, Female

General Exam, Male

General Exam Child

General Exam Infant and Toddler

General Exam Pediatric

Well Exams:

     2 week           2 month     

     4 month         6 month     

     9 month        12 month    

    15 month       18 month    

    24 month        3 years      

      4 years

General Follow Up

General Follow Up, Pediatric

General Follow Up, Infant and Toddler

General Follow Up, Child

General Follow Up , Adolescent

Gynecologic Symptoms,  Post Menopause

Gynecologic Symptoms, Pre-Menopause

Headache and Neck Pain

Headache and Neck Pain, Pediatric

Hypertension Follow Up

Laceration, Hand

Laceration, Head

Low Back Pain

Low Back Pain Follow Up

Lower Extremity Symptoms

Mental Health

Mental Health, Pediatric

Motor Vehicle Accident

Musculoskeletal Symptoms

Musculoskeletal Symptoms, Adolescent

Musculoskeletal Symptoms, Child

Musculoskeletal Symptoms, Infant and Toddler

Neck and Upper Back Pain

Respiratory Symptoms

Respiratory Symptoms, Child

Respiratory Symptoms, Infant and Toddler

Respiratory Symptoms, Pediatric

Respiratory Symptoms and OM Follow Up, Child

Respiratory Symptoms and OM Follow Up, Infant and Toddler

Skin Symptoms

Skin Symptoms, Pediatric

Skin Symptoms, Child

Skin Symptoms, Adolescent

Upper Extremity Symptoms

Urinary Symptoms, Female

Urinary Symptoms, Male

Wound Care

Also included:

PFSH Templates:

                 Adult Male

                 AdultFemale

                 Adolescent Male

                 Adolescent Female

                Child

                Infant and Toddler

And also:

Progress Notes

Medication and Problem List

Medication List Flow Sheet

Coding Key and CPT Criteria

Instruction Manual

License Agreement

File Labels

Adobe Acrobat Reader

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