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  • Patient History Form History Of Present Illness

Get Patient History Form History Of Present Illness

Patient History Form NAME: DATE OF BIRTH: / / AGE: GENDER: DATE: / / 1. Marital Status: 2. Ages of Children 3. Who referred you to our clinic? HISTORY OF PRESENT ILLNESS 4. Condition seeking help.

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The HPI concentrates on the deprivation in the three essential elements of human life already reflected in the HDI: longevity, knowledge and a decent standard of living.

Modifying Factors Modifying factors describe how the patient can manipulate his or her body to reduce or increase the current condition. The documentation should reflect what the patient does for relief, what makes the symptom worse, or what medications have been taken.

Modifying factors include individual characteristics, time, skills and financial resources2. Individual characteristics include religion, gender, self esteem and socio-economic status.

Location: What is the location of the pain? Quality: Include a description of the quality of the symptom (i.e. sharp pain) Severity: Degree of pain for example can be described on a scale of 1 - 10. Duration: How long have you had the pain.

It includes the patient's age, gender, most pertinent past medical history and major symptoms(s) and duration. Whenever possible, this statement should identify the significant issue from the patient's perspective, and include the patient's words if the patient accurately represents the reason for the presentation.

It includes the patient's age, gender, most pertinent past medical history and major symptoms(s) and duration. Whenever possible, this statement should identify the significant issue from the patient's perspective, and include the patient's words if the patient accurately represents the reason for the presentation.

Quality: an adjective describing the type of problem, symptom or pain, eg.

Include only the most essential facts; but be ready to answer ANY questions about all aspects of your patient. Keep your presentation lively. Do not read the presentation! Expect your listeners to ask questions. Follow the order of the written case report. Keep in mind the limitation of your listeners.

A: An essential part of evaluation and management (E/M) documentation is history of present illness (HPI). Two of the eight HPI elements are context and modifying factors. The other elements of the HPI are: Location.

Location. What is the site of the problem? ... Quality. What is the nature of the pain? ... Severity. ... Duration. ... Timing. ... Context. ... Modifying factors. ... Associated signs and symptoms.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232