Question
Mohammad Nassar is a teenage male who is new to the practice and comes to the office today for an annual physical examination. He has
Mohammad Nassar is a teenage male who is new to the practice and comes to the office today for an annual physical examination. He has a known past medical history of asthma, which has been relatively stable until recently. He states when he arrives that he has been experiencing an increasing need for his rescue inhaler in the last several days. His mother has brought him to the appointment, but Mohammad Nassar has asked that she remain in the reception area during his appointment. She does give you a list of Mohammad's current asthma medications and the previously completed new patient documents.
1. As a new patient, which documents should be completed prior to Mohammad being seen by the physician? What documents should he have brought with him, if available?
2. Your office uses a SOAP format for medical records. After Dr. Williams completes her exam, explain where each of the new documents or pieces of information obtained during Mohammad's exam will be filed using the SOAP format.
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