Phone appointment

Finished note

Example — generated by Notat from a sample visit

Reason for visit:
Follow-up for a persistent cough and reduced energy over the past 10 days.

Assessment:
Symptoms are improving. No red flags identified during today's review.

Plan:
Continue supportive care, review worsening symptoms, and follow up if symptoms do not settle as expected.

Clinical documentation:
Relevant symptoms, meaningful negatives, assessment, and follow-up advice were captured from the sample visit and organised into the selected template.

FactsContext™

Template

“Informed verbal consent was obtained from this patient to communicate and provide care using virtual and other telecommunications tools. This patient has been explained the risks related to unauthorized disclosure or interception of personal health information and steps they can take to help protect their information. We have discussed that care provided through video or audio communication cannot replace the need for physical examination or an in person visit for some disorders or urgent problems and patient understands the need to seek urgent care in an Emergency Department as necessary.”

S: Spoken to over the phone to discuss (pt complaint) 

O: Patient seen over the phone
Physical assessment limited due to phone appointment. 

A:

P:
Advised to call office or log into corigan with any concerns. 
See back sooner if needed

**   minute phone call 
Patient has been made aware Dr. John O'Mahony is a minority shareholder in MyHealth Center at 481 London Road.

Patient is also aware it is their right to go where they choose for imaging.