MedicalTemplates has developed an internal medicine clinic history and physical form. This form is suitable for internal medicine physicians, family practice physicians, and other health care providers. The Clinic H&P template contains prompters and space for the following required elements for a E&M encounter - * Chief complaint * History of present illness * Past medical and surgical history * Social history * Family history * Review of systems * Review of data * Physical exam (General Multisystem Exam) * Assessment and plan Medicare 2007 PQRI Quality Measure reminders included for * #1 Hemoglobin A1C Poor Control in Diabetics * #2 Low Density Lipid Control in Diabetics * #3 High Blood Pressure Control in Diabetics * #4 Screening for Future Fall Risk * #5 Heart Failure: ACE or ARB for LVSD * #7 Beta blocker therapy for CAD * #8 Beta blocker therapy for LVSD * #9 Antidepressant medication during new episode major depression * #46 Medication Reconciliation * #47 Advanced Care Plan * Download the Medicare 2007 PQRI Quality Measures from here. This MedicalTemplate is suitable for * History and Physicals * Consult Notes