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This guide provides clear and concise instructions on how to accurately fill out the 2013 NHAMCS-174 outpatient department patient record form. By following these steps, users can ensure that they complete the form correctly and efficiently.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. Begin by entering the patient's information in the designated fields. This includes the patient's medical record number, age, sex, date of visit (month, day, year), and ethnicity.
3. In the 'vital signs' section, record the patient's weight, height, and temperature. Make sure to specify the units used (e.g., kg, cm, °C/°F).
4. Indicate whether the visit is related to an injury, poisoning, or adverse effect of medical treatment. Mark the appropriate option to clarify the nature of the visit.
5. Detail the patient's complaints, symptoms, or reasons for the visit in the patient's own words, including the most important issue and any other concerns.
6. Determine if this clinic is the patient’s primary care provider and if the patient has been seen at the clinic before. Record the relevant information accordingly.
7. Fill in the diagnosis section, listing primary and other related diagnoses for the visit as specifically as possible.
8. Document any services ordered or provided during the visit, including examinations, blood tests, and treatments. Ensure all relevant health education provided to the patient is recorded.
9. For medications, indicate any prescription or non-prescription drugs ordered or provided. Include immunizations and any dietary supplements as necessary.
10. Complete the disposition section by marking all applicable options regarding referrals or follow-up appointments.
11. After filling out all sections of the form, review the information for accuracy before saving your changes, downloading, or printing the form.

Complete and submit your documents online to ensure they are processed efficiently.