Get Medical Summary Report Sample

Completing the Medical Summary Report Sample online is a straightforward process that ensures all vital patient information is accurately documented. This guide provides clear and detailed instructions for each section of the form to assist you in filling it out correctly.

Follow the steps to complete your Medical Summary Report Sample online

1. Press the ‘Get Form’ button to access the form and open it in your online document editor.
2. In the identification section, enter the patient’s name, social security number or social insurance number, date of birth, sex, and address details including city, state or province, and zip or postal code. Ensure all information is accurate.
3. Provide the phone number of the patient for direct contact.
4. In the significant history section, note the nature of the traumatic injury or any pertinent past medical history, selecting the appropriate options for the cause of injury.
5. Next, in the description of accident/injury section, indicate the date of the accident and provide details regarding the event.
6. Within the subjective symptoms section, check all complaints reported by the patient during the initial examination to ensure thoroughness.
7. Proceed to the objective clinical findings section, where you will document findings from the clinical examination by evaluating joint palpation, muscle testing, and mandibular function.
8. Include any relevant radiographic findings, specifying the type of radiographs obtained and noting any significant observations based on the x-ray results.
9. Conclude by filling out the diagnosis and prognosis fields, ensuring they reflect the patient's condition as assessed.
10. Finally, add the orthodontist's signature, date, phone number, and address before saving your changes or downloading the form for printing or sharing.

Start completing your Medical Summary Report Sample online today!