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MedicalTemplates has developed a 2 page Pulmonary/Critical Care new inpatient evaluation template. This template is suitable for pulmonologists, critical care physicians, intensivists, hospitalists and other health care providers.

The Pulmonary/Critical Care new patient template contains prompters and space for the following required elements for a E&M encounter and critical care encounters - Chief complaint; History of present illness; Past medical and surgical history; Social history; Family history; Review of systems; Review of data (labs, tests, imaging); Physical exam; Assessment and plan; Start time; Stop time; Checkboxes for sedation, pressors, and other high risk medications.

MedicalTemplates are in the Adobe PDF format, which requires the free Adobe Reader. With Adobe Reader, these templates can be printed as many times as needed on paper meeting your specifications or the specifications of any clinic, hospital, or other health care facility.

System Requirements: 

• 64 MB RAM, Adobe Reader

Pulmonary/Critical Care H&P screenshot: