Basic Template

Patient is a [text] YO [select value= "Select|M|F"] presents to clinic [select value="to establish care|for annual exam|complaining of"] [text  default="sample text"]. [textarea default="Location: Onset: Trending: Quality: Severity: Sick contacts: ADLs: Palliative: Provoking: Previous episodes: Timing: Trigger: Trauma: Temp: Travel:"]
[textarea default="Meds: Allergies: PMH: PSH: FH:"]
SH:
Tobacco: [text]
Alcohol: [text]
Drugs: [text]
Diet: [text]
Exercise: [text]
Occupation: [text]
Family: [text]

OBJECTIVE:
Vitals:
General: WDWN, NAD
HEENT: Normocephalic, EOMI, no scleral icterus, tympanic membranes intact b/l, no LAD [text]
Neck: no thyromegaly or nodules [text]
CV: RRR, no murmurs, rubs, or gallops. Radial/posterior tibial pulse 2+ b/l [text]
Lung: CTAB [text]
Abdomen: bowel sounds in all four quadrants, percussion tympanic throughtout, no tenderness to palpation in all 7 quadrants [text]
Extremities: no lower extremity swelling [text]
Neuro:CN II-XII intact, no nystagmus, muscle strength 5/5 at the knee and elbow, gross sensation to light touch at C6/7 and L3/4, patellar/biceps reflex 2+ b/l [text]
Psych: normal affect [text]

Assessment/Plan
Patient presents to clinic [text]
Differential Dx: [text]
Tests:[text]
Treatment: [text]
Follow up: [text]
Patient educated on [text]
Next steps if no improvement: [textarea default="sample text"]