USA Family Practice

Attending Physician Chart Note
Moderate to high complexity Medicare, Tricare and all inpatient

Dr. ______________________’s history as documented above has been reviewed, patient interviewed and examined. Briefly, it is noted that:

 ____________________________________________________________________________________

My exam confirms (revises) all the resident's findings of note.  These are:

 ____________________________________________________________________________________

 Lab tests show:_________________________________________________________________________

 Indicating: _________________________________________________________________________

 ____________________________________________________________________________________

I confirm (revise) the residents assessment and diagnosis as:

____________________________________________________________________________________

And I confirm/revise the following diagnostic possibilities and outline a care plan as follows:

 ____________________________________________________________________________________

 ____________________________________________________________________________________

See Dr. ____________________’s note for details,

 

Date _____________                                                                    ______________________________, MD