Get Telephone Triage/message Form

Completing the Telephone Triage/Message Form online is a straightforward process designed to capture essential patient information. This guide provides step-by-step instructions to ensure accurate and efficient form filling, catering to various user needs.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. Begin by entering the details of the message taken by the individual assisting the patient, including the date and time of the call.
3. Fill in the patient's name and specify their problem or complaint clearly. This information is crucial for the follow-up process.
4. Document the current medications the patient is taking to help assess their health situation accurately.
5. If the caller is not the patient, enter the caller's name and any relevant relationship to the patient.
6. List any other medical problems the patient may have and any known allergies to ensure complete medical history.
7. Provide contact information, including the patient's phone number, age, weight, and whether they are pregnant.
8. Identify the primary care physician and include additional phone numbers like the work phone and cell phone where applicable.
9. Indicate the times the patient can be reached by checking the appropriate options (home, cell, work) and inserting time slots.
10. Continue detailing any additional complaints as necessary in the provided space, ensuring all issues are documented.
11. If a medication refill is requested, circle the appropriate option and fill in the medication name, pharmacy name, and its contact number.
12. Update the follow-up section with details for referrals, appointments made, and any communications regarding treatment plans.
13. Provide clinical advice given to the patient and ensure that patient understanding of the treatment plan is noted.
14. Complete any comments section as needed, especially regarding the patient’s understanding of when to seek further help.
15. Once you have filled out all sections, you can save changes, download, print, or share the completed form as necessary.

Complete your documents online today for efficient patient management.