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Documentation in Medical Record

General:

History and Physical Examination
AIDS Care Group

HIV/ARV Care Card (Acrobat PDF)
©World Health Organization

HIV-specific flow sheet AECOM/DOSA (MS Word)
Albert Einstein College of Medicine

Provider medical record form (Acrobat PDF)
SVCMC St. Mary’s Division

Electronic medical record profile (Acrobat PDF)
Page 1 | Page 2
Erie County Medical Center

Stamp for medical record (Acrobat PDF)
Long Island College Hospital

Patient Progress/Consultation Forms :

Provider progress note (MS Word)
Jacobi/North Central Bronx

Provider progress note (MS Excel)
North Shore University Hospital

Interdisiplinary Progress Note
Page 1 | Page 2 (MS Word)
Mount Vernon Hospital

Interdisciplinary Progress Note
Page 1 | Page 2 (MS Word) Page 3 | Page 4
The Mount Vernon Hospital

HIV ambulatory progress note (MS Word)
Staten Island University Hospital

Consultation Form (MS Word)
Strong Memoral Hospital

Case conferencing reporting (MS Word)
Arnot Ogden Medical Center

Visit Forms:

Outpatient initial/annual visit form (MS Word)
SVCMC St. Mary’s Division

Outpatient medical record form (MS Word)
New York Methodist Hospital

Outpatient annual exam comprehensive medical record tool (MS Word)
Albany Medical Center

Outpatient follow-up visit medical record tool (MS Word)
Albany Medical Center

Outpatient follow-up visit medical record form (Acrobat PDF)
Bronx Lebanon Hospital MMTP

Unstable patients:

Unstable patient follow-up form (Acrobat PDF)
City Hospital of Elmhurst