Get Short Form Outpatient Procedure History & Physical (h&p) - Hfhs ... - Hfhs-formslibrary

Filling out the Short Form Outpatient Procedure History & Physical (H&P) is an essential step in preparing for any outpatient surgical procedure. This comprehensive guide aims to provide you with clear and concise steps to complete the form accurately online, ensuring that you present the necessary information effectively.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your chosen digital editor.
2. Begin by entering the date at the top of the form to indicate when the information is being recorded.
3. Input the Medical Record Number (MRN) assigned to the patient for identification purposes.
4. In the 'NAME' field, provide the full name of the patient undergoing the procedure.
5. Detail the planned procedure in the designated section. Write a clear and specific description to avoid miscommunication.
6. State the chief complaint or diagnosis that necessitates the outpatient procedure in the appropriate space.
7. List any known allergies. If there are none, check the ‘No Known Allergies’ box. If specific allergies are present, indicate them clearly.
8. If applicable, check the boxes for latex allergy or medication reconciliation references as needed.
9. In the 'Current Medications' section, note all medications the patient is currently taking. If there are entries to be referenced, check the provided box.
10. Review the past medical history section and check all relevant conditions, ensuring to mark ‘All Negative’ if appropriate.
11. Fill in the social history by checking relevant boxes that pertain to the patient’s lifestyle habits, including smoking and alcohol use.
12. In the 'Physical Exam' section, record the patient’s vital signs such as blood pressure, pulse, height, and weight.
13. Complete the lung and heart assessments by marking pertinent observations and any other noteworthy findings.
14. Add any additional pertinent information in the 'Pertinent Other' section, ensuring all relevant aspects are covered.
15. Sign the form where indicated, and ensure the date and time of the signature are added correctly.
16. Finally, save your changes once the form is filled out completely. You can download, print, or share the completed document as needed.

Complete your Short Form Outpatient Procedure History & Physical (H&P) online today!