Get Nhamcs-173 2015-2025

Navigating the NHAMCS-173 form can seem challenging, but with clear guidance, you can complete it efficiently. This step-by-step guide is designed to help users, regardless of their experience level, fill out the National Hospital Ambulatory Medical Care Survey form accurately online.

Follow the steps to successfully complete the NHAMCS-173 online.

1. Click ‘Get Form’ button to access the NHAMCS-173 online form and open it for editing.
2. Begin by filling in the patient information section. Enter the patient's medical record number, date and time of visit, and their ZIP code. Include details such as the patient's date of birth and indicate if they are homeless.
3. Specify the sex, age, and ethnicity of the patient. Follow up by marking the appropriate race categories and note the method of arrival (e.g., by ambulance).
4. Next, address the expected source of payment for the visit. Mark all applicable options and indicate if the patient was transferred from another facility.
5. Proceed to the triage section. This includes vital signs such as temperature, blood pressure, heart rate, and other vital measurements, including the pain scale.
6. In the 'Reason for Visit' section, compile a list of the patient's concerns and symptoms. Include the most significant issues as well as any other reasons for the visit.
7. Complete the injury section if applicable, specifying if the visit is related to an injury or overdose, and provide details about the circumstances surrounding the incident.
8. List all diagnoses related to this visit in the diagnosis section, marking all relevant options that apply.
9. Indicate any diagnostic services that were ordered or provided during the visit, including blood tests and imaging.
10. Document all medications and immunizations administered during the visit, selecting from up to 30 available options.
11. Detail any procedures performed at the visit by marking the appropriate options in the procedures section.
12. Complete the vital signs discharge section and any information required on providers seen during the visit.
13. Finally, confirm the disposition of the patient following their visit and provide any necessary admissions data if applicable.
14. Once all sections are complete, users can save their changes, print, download, or share the NHAMCS-173 form.

Start completing your NHAMCS-173 form online today!