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2.10: Sample Documentation

Last updated

Feb 10, 2022
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- 2.9: Review of Body Systems
- 2.11: Checklist for Obtaining a Health History

Ernstmeyer & Christman (Eds.)
Chippewa Valley Technical College via OpenRN

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Information obtained during a health history interview is typically documented on agency-specific forms. See “Chapter Resources A” for a sample health history form used for documentation purposes. Additional information collected that is not included on the form should be documented in an associated progress note.

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