Homeopathy Consultation Note

Template structure

This is the structure Notat follows when it writes the note from the visit — you never fill it in by hand.

Homeopath Note

Patient Identification: [Patient name, age, gender, presenting complaint]

Chief Complaint:
[Primary symptom or reason for visit, including duration and onset]

History of Present Illness:
[Detailed description of presenting symptoms, including location, sensation, modalities (what makes it better or worse), associated symptoms, and chronological progression]
[Include any emotional or mental symptoms relevant to the case]
[Describe any recent stressors, life events, or changes in routine]

Past Medical History:
(hyphenated list)
- [Previous illnesses, surgeries, hospitalizations]
- [Chronic conditions]

Medications:
(hyphenated list)
- [Current medications, supplements, and homeopathic remedies]

Allergies:
(hyphenated list)
- [Drug, food, environmental allergies]

Family History:
(hyphenated list)
- [Relevant family medical history]

Social History:
(hyphenated list)
- [Tobacco use]
- [Alcohol use]
- [Recreational substances]
- [Occupation]
- [Living situation]

General Symptoms:
(hyphenated list)
- [Sleep patterns and quality]
- [Appetite and food preferences]
- [Thirst and fluid intake]
- [Energy levels]
- [Perspiration]
- [Temperature preferences]
- [Menstrual history (if applicable)]
- [Other general symptoms]

Physical Examination:
(hyphenated list)
- [Vital signs with units] (e.g., HR: #, BP: #, T: #, RR: #, O2 sats: #%)
- [Relevant physical findings]

Mental/Emotional State:
[Description of mood, affect, stressors, fears, anxieties, and coping mechanisms]

Investigations:
(hyphenated list)
- [Relevant laboratory or imaging results]

Assessment:
[Summary of case analysis, including key symptoms and homeopathic evaluation]

Plan:
(hyphenated list)
- [Homeopathic remedy prescribed, potency, and dosing instructions]
- [Lifestyle or dietary recommendations]
- [Counselling or education provided]
- [Follow up plan]
- [Return precautions]