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Category: Consult

Nonfunctioning Port-A-Cath Consultation Sample Report

CHIEF COMPLAINT: Nonfunctioning Port-A-Cath. HISTORY OF PRESENT ILLNESS: The patient is a very pleasant (XX)-year-old gentleman, who has history of colorectal cancer. He has been treated now with chemotherapy as …

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Hair Loss SOAP Note Medical Sample Report
CHIEF COMPLAINT: Full physical and hair loss. SUBJECTIVE: The patient …
Hyperlipidemia SOAP Note Template Sample Report
SUBJECTIVE: The patient is a (XX)-year-old female who comes in …
Lip Swelling SOAP Note Template Sample Report
REASON FOR VISIT: 1. Lip swelling, upper lip. 2. Discuss …

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Sleep Education SOAP Note/Polysomnogram Sample Reports
DATE OF STUDY: MM/DD/YYYY INDICATION: Evaluation of sleep-disordered breathing. STUDY …
Sleep Study Procedure Medical Transcription Sample Report
SLEEP STUDY INTERPRETATION: This sleep study was done on MM/DD/YYYY. …

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Dermatology SOAP Note Medical Transcription Sample Reports
Dermatology SOAP Note Sample Report #1 SUBJECTIVE: The patient is …
Acne SOAP Note Dermatology Transcription Sample Report
SUBJECTIVE: The patient is a (XX)-year-old who returns accompanied by …
Chronic Eczema SOAP Note Medical Transcription Sample …
SUBJECTIVE: The patient is a (XX)-year-old woman who returns 4 …

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IME Chiropractic Evaluation Sample Medical Report
(Month) (Date), (Year) Company Address Line 1 Address Line 2 …
IME Back Pain Evaluation Sample Medical Report
(Month) (Date), (Year) Company Address line 1 Address line 2 …

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Review of Systems Template Examples
REVIEW OF SYSTEMS: CONSTITUTIONAL: He has chronic morbid obesity. He …
Review of Systems Medical Transcription Template Examples
REVIEW OF SYSTEMS: GENERAL: The patient complains of fatigue. No …

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Pain Management Consult Transcription Sample Report
DATE OF CONSULTATION: MM/DD/YYYY REFERRING PHYSICIAN: John Doe, MD REASON …
Lumbar Epidural Steroid Injection Sample Report
DATE OF PROCEDURE: MM/DD/YYYY PREOPERATIVE DIAGNOSIS: Multiple thoracolumbar vertebral compression …

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Left Heart Catheterization Transcription Sample Report
DATE OF OPERATION: MM/DD/YYYY PREOPERATIVE DIAGNOSIS: Recent acute coronary syndrome, …
Right Heart Catheterization Procedure Sample Report
PROCEDURES PERFORMED: 1. Right heart catheterization. 2. Selective coronary arteriogram. …
Diagnostic Cardiac Catheterization MT Sample Report
PROCEDURES PERFORMED: 1. Diagnostic cardiac catheterization. 2. Selective cineangiography. 3. …

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Video Arthroscopy of the Left Knee Surgical …
PREOPERATIVE DIAGNOSIS: Internal derangement of the left knee. POSTOPERATIVE DIAGNOSES: …
Achilles Tendon Lengthening Surgery Sample Report
PREOPERATIVE DIAGNOSIS: Achilles tendinitis and arthritis in the left foot …

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