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Blood Pressure Check Visit Note

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Subjective

 The patient is here today for a blood pressure evaluation.  They deny headache, chest pain, shortness of breath or new leg edema.

Objective

.vitals

Assessment/Plan

The vital signs were reviewed and the blood pressure evaluated.  The patient does not need blood pressure medication refills and no medication changes are necessary at this time.  Follow-up is recommended with PCP in several weeks for re-evaluation.

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  • All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only.  Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient.  Merely copying and pasting a prewritten note into a patient's chart is unethical, unsafe, and possibly fradulent.