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Inpatient History & Physical Form Internal Medicine Greenville Hospital System () Initial Visit Date: 1 MD: () Consult requested by: Service: Attending: Patient Stamp NAME: MAN: Allergies: AGE: ROOM#:
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How to fill out Greenville Hospital System Inpatient History & Physical

01
Start by entering the patient's basic information, including name, date of birth, and medical record number.
02
Provide relevant demographic information such as address, phone number, and insurance details.
03
Fill out the medical history section, including past medical conditions, surgeries, and allergies.
04
Document the patient's family medical history, noting any hereditary conditions.
05
Complete the social history section, which includes smoking, alcohol use, and living arrangements.
06
List current medications, including dosages and frequency.
07
Record vital signs and any significant physical examination findings.
08
Provide a detailed assessment of the patient's current health status.
09
Document any necessary diagnostic tests or procedures planned.
10
Review the document for completeness and accuracy before submission.

Who needs Greenville Hospital System Inpatient History & Physical?

01
Patients admitted to the hospital for inpatient treatment require the Greenville Hospital System Inpatient History & Physical.
02
Healthcare providers involved in the patient's care need this document to ensure comprehensive understanding of the patient's health history.
03
Insurance companies may request this information for billing and coverage purposes.

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Instructions and Help about printable history and physical forms for physicians

Hello I'm Dr. Eugene Corbett from the department of internal medicine here at the University of Virginia I'm here today to participate in a history and physical examination with a standardized patient we haven't met before, but the purpose of this is to provide an opportunity for to you for you to observe how the decision might perform a complete history and physical examination on a patient who's new to them Mr. Murray I'm Dr. Corbin vegetable druggist or night with me too yeah first time we've met yes yeah yes, so I understand you made an appointment for an examination bit of Korea, and we're going to a complete physical examination I understand I'm going to ask you about why you came into that, but we mind if I take a few notes just in case no very close in case you get lost — tell me yeah doing this too much verified but good, so you made the appointment for exam when's the last time I had a physical examination oh probably two years ago yeah well let me tell me why you made this one well I had these chronic headaches going on as I've had for about three months now, and it's just not getting any better and want to see if there's something we can do about it so when you say chronic you're referring to the fact that they've just been steady for three months or even longer than that well it started three months ago they're like every other day or so, and now I'm having them every day and there you have no days when you don't have anything I have a headache every day but at the beginning it didn't seem to be quite as available that poor young Miller just described the headaches where are they and what that what they feel like um they start at the back of my head here and they kind of come up around my temples I guess you call it and into the front of my head sometimes they're dropping you know other times they're not quite as bad, so it's both sides of your you know starts in the back and comes up the front correct do you have a headache all the time or is it just coming um well I have a headache all the time until I take something take Advil and Tylenol that seemed to help it and that eases it up is it ever gone does it always come something there's always something there I always know it's there it's the intensity of it I say can you tell me a little more about what you notice for example when is it the worst at night in the morning, but there's a mega difference um well it doesn't make a lot of difference when I don't get enough sleep it's awful if I move my head in a certain way or if I strain or stretch my head in a certain way, so I went one way can you show me that fuck if I go like you know to the back or if I even am, I'm no bending over you know just any exaggerated moves any exaggerated yes seems to make it worse and if I don't take the Advil in a Tylenol it seems to be worse somewhere — I see so this three months ago it started into both sides it's in the back, and you can make it worse if you either extend or you lean forward for...

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Greenville Hospital System Inpatient History & Physical is a comprehensive document that outlines a patient's medical history, current health status, and physical examination findings as part of an inpatient admission process.
Healthcare providers, including physicians and nurse practitioners, are required to file the Greenville Hospital System Inpatient History & Physical after assessing and evaluating the patient's condition upon admission.
To fill out the Greenville Hospital System Inpatient History & Physical, providers must gather all relevant patient information, including medical history, medication allergies, current medications, clinical findings from physical examinations, and any necessary diagnostic test results.
The purpose of Greenville Hospital System Inpatient History & Physical is to ensure that healthcare providers have a clear understanding of a patient's medical background and current health status to guide treatment decisions during their hospital stay.
Information that must be reported includes the patient's demographic details, past medical history, family history, social history, current medications, allergies, physical exam findings, assessments, and any planned interventions or treatments.
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