PCP and OBGYN Practice Resources
Last Updated: Wednesday, November 08, 2023
- wpa/ nepa
- cpa/ sepa
- de
- wv
The PCP and OBGYN Practice Resources is only applicable to Pennsylvania, Delaware, and West Virginia.
Sample Medical Record Forms
Below are age-specific progress records/preventive health records, problem/medication lists, and multi-condition flow sheets intended for use in patient medical records to assist in making medical record documentation compliance easier.
Sample Policies
Below are sample office site policies and procedures to assist in office site operations and environmental compliance.
Sample Office Forms and Protocols
Below are sample office forms to assist in office site operations and environmental regulatory compliance.
- Authorization to Release Medical Records
- Employee Confidentiality Statement
- Consent to Disclose Confidential HIV Related Information
- Informed Consent
- Patient Notification of Diagnostic Test Results/Consultations
- Obstetrical/Gynecological Patient Scheduling and Triage
- Telephone Triage
- Employee Training Record Blood-borne Pathogens
- Patient Notification of Results
- Gynecological Communication Form
- Obstetrical Communication Form
- Refrigerator/Freezer Temperature Log
- Sample Medication Log
- Diagnostic/Specialist Referral Log
- Diagnostic Requisition Log
- Medical Care Coordination
