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Add to Favorites 1 Week History
2010-04-01 Add to Favorites 11 to 14 Year History
2010-04-01 Add to Favorites 12 Month History
2010-04-01 Add to Favorites 15 Month History
2010-04-01 Add to Favorites 15 to 18 Year History
2010-04-01 Add to Favorites 2 Month History
2010-04-01 Add to Favorites 2 To 6 Year Prevention History
2010-04-01 Add to Favorites 2 Year Assessment/Plan
2010-04-01 Add to Favorites 2 Year History
2010-04-01 Add to Favorites 3 Year History
2010-04-01 Add to Favorites 4 Month History
2010-04-01 Add to Favorites 4 Year History
2010-04-01 Add to Favorites 5 Year History
2010-04-01 Add to Favorites 6 Month History
2010-04-01 Add to Favorites 6 To 10 Year History
2010-04-01 Add to Favorites Abdominal Pain History
2010-11-24 Add to Favorites Acute Headache/Migraine HPI
2019-02-25 Add to Favorites Acute Neurologic Changes – History
2010-11-17 Add to Favorites ADHD – Conners’ Index History
2010-04-11 Add to Favorites Adult ADHD Followup ASRS Scale
2019-02-26 Add to Favorites Allergic Rhinitis History
2014-02-16 Add to Favorites Altered Level of Consciousness History
2010-11-24 Add to Favorites Assault History
2010-11-24 Add to Favorites Asthma History
2010-04-03 Add to Favorites Back Pain History and Exam
2010-04-14 Add to Favorites BATHE Technique Checklist
2013-09-09 Add to Favorites Bite Wound History
2010-11-21 Add to Favorites Bronchitis History
2010-04-28 Add to Favorites Burn History
2010-11-21 Add to Favorites Cardiology HPI
2019-02-18 Add to Favorites Cardiology HPI
2019-02-18 Add to Favorites Cardiology HPI
2019-02-18 Add to Favorites Chest Pain History
2010-11-24 Add to Favorites Chronic Rhinitis HPI
2019-02-25 Add to Favorites Cognitive Problems History
2014-01-12 Add to Favorites Contraception HPI
2019-02-26 Add to Favorites Cough History
2010-04-28 Add to Favorites Cough HPI
2019-03-11 Add to Favorites Croup History
2010-04-11 Add to Favorites Diabetes Mellitus History
2013-03-09 Add to Favorites Diabetic Foot Ulcer History
2012-06-19 Add to Favorites Dizziness History
2010-11-20 Add to Favorites DOD CC/HPI/ROS
2018-12-20 Add to Favorites DOD CC/HPI/ROS alternate
2018-12-11 Add to Favorites Dyspnea History
2010-11-24 Add to Favorites Fall Or Syncopal Episode History
Checklist for syncope history2010-11-24 Add to Favorites Female Genitourinary GU Symptoms HPI
2019-03-11 Add to Favorites Female Genitourinary History
2010-11-24 Add to Favorites Female Review of Systems
2010-04-01 Add to Favorites Fever History
2010-04-01 Add to Favorites Fever History
2014-10-13 Add to Favorites Fussiness History
2010-10-24 Add to Favorites Gastroenteritis History
2014-02-16 Add to Favorites Gastroenteritis History
2010-11-24 Add to Favorites Gastrointestinal Symptoms HPI
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Add to Favorites General note
2018-07-29 Add to Favorites General ROS
2019-03-05 Add to Favorites Generic Symptom HPI
2019-02-25 Add to Favorites Geriatric Comprehensive History
2010-04-01 Add to Favorites GI Bleeding History
2010-11-24 Add to Favorites Head Injury History
2010-11-21 Add to Favorites Headache History
2017-12-22 Add to Favorites Headache New CJ
2018-07-05 Add to Favorites History Of Present Illness
2013-10-13 Add to Favorites HPI
History of Present Illness2017-12-14 Add to Favorites HPI
2018-03-04 Add to Favorites Influenza History
2010-04-11 Add to Favorites Initiating Contraception History
2010-04-13 Add to Favorites Injury History
2010-11-21 Add to Favorites Low Back Pain/Injury History
2010-11-21 Add to Favorites Lower Extremity Pain/Injury History
2010-11-21 Add to Favorites Male genitourinary symptoms history
2010-11-24 Add to Favorites Medicare History
2010-04-01 Add to Favorites Motor Vehicle Accident History
2010-11-24 Add to Favorites MSK HPI
2019-02-26 Add to Favorites Occupational History
2017-02-25 Add to Favorites Pain History
2013-09-04 Add to Favorites Pain History – Pain Scales
Several different pain scales to use during patient visits.2016-10-04 Add to Favorites Palpitations History
2014-11-17 Add to Favorites Pharyngitis History
Includes two versions of the pharyngitis (sore throat) history.2010-04-01 Add to Favorites Pre-Anesthesia Medical Examination History
2010-04-12 Add to Favorites Pregnancy-Related Symptoms
2010-11-17 Add to Favorites Rash History
2010-04-01 Add to Favorites Referral/Refills/Results Request HPI
2019-03-07 Add to Favorites ROS Checklist
2018-07-07 Add to Favorites ROS text
2018-07-07 Add to Favorites RPS checkbox
2018-07-07 Add to Favorites Scabies History
2010-04-01 Add to Favorites Seizure History
2010-11-17 Add to Favorites Sports Pre-Participation Examination – Athlete or Parent Section
20 item questionnaire intended to be completed by athlete or athlete's parent before the visit or at the beginning of the visit.2017-03-01 Add to Favorites Stye History
2010-04-12 Add to Favorites Subjective-Comprehensive New or Annual
2018-04-29 Add to Favorites Subjective-Expanded focus
2018-04-29 Add to Favorites Subjective-Focused
2018-04-29 Add to Favorites Subjective-follow-up
2018-04-29 Add to Favorites Travel Counseling History
2010-09-30 Add to Favorites Upper Back Pain History
2010-11-21 Add to Favorites Upper Extremity Pain/Injury History
2010-11-21 Add to Favorites URI URTI HPI
2019-03-03 Add to Favorites Urinary Tract Infection History
History for urinary tract infection symptoms in women.2013-09-06 Add to Favorites UTI HPI
2019-02-26 Add to Favorites Vaginitis History
2016-09-05 Add to Favorites Varicella History
2010-04-01 Add to Favorites Viral Infection History
2010-04-01 Add to Favorites Well Woman Encounter HPI
2019-03-04 Add to Favorites WHMC – HPI