acord medical statement form

Get the free acord medical statement form

ACORD TM DATE MM/DD/YY MEDICAL STATEMENT PRODUCER INSURED S NAME AND MAILING ADDRESS Include county ZIP TELEPHONE NUMBER CO/PLAN CODE POL SUBCODE ACCT AGENCY CUSTOMER ID NEW EFFECTIVE DATE EXPIRATION DATE RNWL DIRECT BILL PAYMENT PLAN AGENCY BILL DRIVER INFORMATION DRIVER S NAME DATE OF BIRTH EMPLOYER S NAME AND ADDRESS AGE SEX OCCUPATION FAMILY PHYSICIAN S NAME AND ADDRESS YRS UNDER PHYSICIAN CARE DATE OF LAST VISIT DRIVER MEDICAL HISTORY EXPLAIN ALL YES RESPONSES IN REMARKS - INCLUDE...
Fill form: Try Risk Free
  • Get Form
  • eSign
  • Fax
  • Email
  • Add Annotation
  • Share
Video instructions and help with filling out and completing acord medical statement form
Instructions and Help about acord 92 form
Hi my name is David Keegan I'm an academic family doctor here at the University of Calgary today we're talking about how to write clinical patient notes the basics so first of all why write a note in the first place why are we writing notes when we see a patient it's really important to think about these purposes because that's going to help us understand why we do things in the way we do when we write them down so one of the main reasons we write notes is so that we can actually document for ourselves what we did with the patient what we discussed and so on so that later on we can go back and look at those notes and see what we did and what we heard from the patient great they're also there to help other people do the same thing one of our colleagues or another health professional or somebody else might have to be taking on the care of that patient and they need to be able to see what we did as well and there's also a documentation reason to do it for a good medical legal quality reason so that we're tracking what we're doing so that if there's any questions later on then the answers are there what we actually discussed while we came up with so that there's actually like a source of truth around these things so there's a variety of reasons and if you're a clinical learner and you probably are if you're watching this video there's another reason to do it is so that you can display that you can think about a patient in a clearer way so that you can work with a patient talk to a patient examine the patient and document things in a way that shows you have a clarity of thought and understanding about the patient and their issues so with all that said how do you actually write a patient note well there's a few things you got to do first you've got to think about is this the right patient record I'm looking at so if you've seen a John Smith are you looking at John Smith's paper chart or you looking at John Smith's electronic chart and it's amazing that in the era of electronics how easy it is to be finding yourself in the different patient's clinical record and you're happily typing away an obstetrical history on a 92 year old man and you just made a mistake so be careful about that and the very first thing you should do is check check to make sure you've got the right patient Wow so that's going to save you a ton of time because if you ever don't have you ever do this incorrectly it's a real hassle to fix all that next if you're in a standard clinic maybe it's a family medicine clinic or gastrointestinal and that clinic knows that they're the only things working there you might not need a title but if you're in the hospital or in a multidisciplinary outpatient setting where you share files and so on you might actually have to put a bit of a title or heading so the heading would demonstrate or reveal who are you working with what kind of service or what kind of group are you with so it might be something like penny might be surgery surgery progress...