General Practice templates
Free General Practice document templates written and shared by clinicians on Rhazes. Preview any template, then save it to your own library.
88 shared by clinicians · Page 2 of 2
- Medical Certificate for Return to WorkA reusable English template for documenting medical clearance to resume employment after treatment. It covers the assessment, any temporary workplace limitations, follow-up arrangements, and provider verification.
General Practice
- Travel Medicine ConsultationA reusable template for documenting pre-travel medical consultations, including itinerary details, relevant medical and vaccination history, destination-specific disease risks, preventive advice, vaccination decisions, administration, and costs.
General Practice
- Mental Health Care PlanA structured template for documenting a comprehensive Mental Health Care Plan in primary care. It covers the presenting problem, psychiatric and psychosocial history, examination, formulation, treatment goals, management, referrals, safety planning and review.
General Practice
- RACGP Medical ReportA structured template for general practitioners preparing comprehensive medical reports for insurers. It covers administrative details, clinical findings, management, prognosis, functional impact, and certification.
General Practice
- Initial Speech-Language Evaluation NoteA structured template for documenting an initial speech-language pathology evaluation, including referral context, medical and developmental background, communication concerns, assessment findings, and recommendations. It supports consistent recording of intervention planning, referrals, home strategies, and clinician details.
General Practice
- Healthcare Team Meeting RecordA reusable structure for documenting healthcare team meetings. It records meeting logistics, participants, agenda items, discussion points, decisions, assigned actions, and details for the next meeting.
General Practice
- PAP smear (GP)This template supports general practitioners in documenting cervical screening, including patient and clinical information, procedure details, results, and follow-up. It is intended to promote complete records, continuity of care, and patient education for routine PAP smears.
General Practice
- COT Performance CriteriaA structured template for assessing and documenting performance across key areas of a general practice consultation. It covers communication, clinical reasoning, examination, management, shared decision-making, follow-up, and resource use for training or assessment.
General Practice
- Menopause Consultation Assessment NoteA structured template for documenting consultations involving perimenopausal or menopausal symptoms. It captures presenting concerns, relevant medical and family history, screening, social history, examination findings, treatment decisions, lifestyle guidance, and follow-up.
General Practice
- Menopause and Perimenopause AssessmentA comprehensive template for documenting consultations about menopause and perimenopause. It covers menopausal stage, relevant history, symptoms, wellbeing, examination findings, investigations, management options, follow-up, preventative health advice, shared decision-making, and documentation.
General Practice
- GP Consultation with UK GuidanceA structured template for documenting primary care consultations, including the history, examination, clinical impression, management plan, follow-up, and safety-netting. It also provides a separate area for guideline-informed suggestions based on UK general practice and NICE CKS guidance.
General Practice
- Infertility NoteThis template supports documentation of consultations about infertility, covering the presenting concern, relevant medical and lifestyle history, examination findings, diagnostic work-up, assessment, management, and follow-up. It is intended to provide a structured record for infertility evaluation and fertility-care planning.
General Practice
- GP Comprehensive Clinical OverviewA reusable template for General Practitioners to record a structured overview of a patient's demographics, medical history, current clinical status, diagnostic findings, assessment, care plan, progress, and recommendations. It supports comprehensive case summaries and continuity of care.
General Practice
- Specialist Referral LetterA reusable English letter structure for referring a patient from general practice to a specialist. It organizes the referral reason, clinical history, medicines, investigations, contact details, and closing correspondence.
General Practice
- Travel Vaccination RecommendationsA structured template for documenting travel-health consultations in primary care. It covers the itinerary, relevant medical history, vaccination status, destination-specific vaccine and malaria advice, yellow fever considerations, general travel guidance, and follow-up.
General Practice
- Primary Care Consultation NoteThis template supports structured documentation of primary care consultations, including the presenting history, relevant investigations, examination findings, diagnoses, and management plan. It is suitable for documenting face-to-face and telephone consultations while preserving only information explicitly provided.
General Practice
- ArztbriefDiese Vorlage strukturiert die Weitergabe medizinischer Informationen an weiterbehandelnde Ärzt:innen. Sie umfasst den Vorstellungsgrund, Patientendaten und Diagnosen, den Behandlungsverlauf, die Entlassmedikation sowie Empfehlungen für die weitere Versorgung.
General Practice
- Primary Care Visit NoteA structured template for general practitioners to document patient visits, including history, examination findings, investigations, and issue-based assessment and planning. It supports consistent recording of clinical concerns, relevant background, and explicitly documented management decisions.
General Practice
- Paediatric Preventive Health Visit NoteA reusable template for documenting routine paediatric health visits, covering history, examination, development, prevention, immunisations, follow-up, and education. It is intended to support complete, structured documentation of a child’s ongoing health and development.
General Practice
- GP Multi-Issue Consultation TemplateA structured template for documenting general practice consultations, covering presenting issues, relevant history, examination, clinical impressions and management. It supports concise, organised recording of multiple concerns while preserving clinically relevant details and follow-up actions.
General Practice
- Complete Physical ExamA reusable template for documenting a comprehensive health assessment, including medical concerns, preventive screening, cardiovascular risk factors, examination findings, and management plans. It is suitable for routine physicals and ongoing preventive care.
General Practice
- GP Chronic Condition Management PlanA structured template for documenting eligibility, consent, chronic conditions, goals, treatments, patient responsibilities, care coordination, and review arrangements in a GP Chronic Condition Management Plan.
General Practice
- Medical CertificateA reusable medical certificate structure for documenting examination details, recommended leave, fitness to return to work or usual activities, provider information, and consent-based disclosures. It is intended for official employment, insurance, or related verification purposes while limiting clinical detail to information explicitly provided and authorised.
General Practice
- Minor Surgical ProcedureA reusable template for documenting minor surgical procedures, including patient details, indications, pre-operative assessment, procedural findings, specimen handling, post-operative care, education, and follow-up.
General Practice
- GP NoteA structured template for documenting general practice consultations, including presenting problems, examination findings, assessments, and plans. It supports concise recording of multiple issues while retaining relevant clinical history and management details.
General Practice
- Informed Consent DocumentationThis template documents the informed consent discussion for proposed healthcare, including the treatment, risks and benefits, patient responses, alternatives, resources, and consent details. It also captures additional considerations such as refusal or withdrawal of care, competency, and communication barriers.
General Practice
- CPD Consultation ReflectionA reusable template for recording a clinician’s reflections on a patient consultation for continuing professional development. It covers the consultation details, clinical learning, management decisions, reflections, future practice actions and explicitly stated CPD credits.
General Practice
- GP Comprehensive Medication AssessmentA structured template for documenting a comprehensive medication review, including current medicines, adherence, effectiveness, adverse effects, patient concerns, recommendations, and follow-up.
General Practice
- Menopause Health AssessmentA structured template for assessing menopausal symptoms, relevant history, examination findings, investigations, referrals, and agreed management. It supports concise, comprehensive documentation of the patient’s concerns and treatment preferences.
General Practice
- GP Consultation Assessment and Plan NoteA structured general practice consultation template for concisely recording the clinical impression and management plan alongside detailed history and examination findings. It is suited to complex consultations and supports clear documentation of clinical decisions and follow-up.
General Practice
- GP Specialist Advice Request LetterA reusable letter structure for requesting specialist advice about a patient. It captures the sender and recipient details, the patient’s presentation and relevant history, clinical findings, current management, and the specific guidance being requested.
General Practice
- CHA2DS2-VASc Score CalculationA structured template for calculating stroke risk in patients with atrial fibrillation or atrial flutter. It captures the relevant clinical factors, score interpretation, anticoagulation planning, follow-up, and documentation details.
General Practice
- UK History TemplateA structured template for documenting a UK primary-care history, examination findings, diagnoses, and management plan. It covers presenting concerns, relevant background, medicines, social history, allergies, system examinations, diagnostic assessments, treatment, follow-up, education, and investigations.
General Practice
- General Practice Chronic Condition PlanA structured template for documenting a General Practice Management Plan for a patient with a chronic condition. It covers patient and GP details, assessment, relevant history, current needs, goals, agreed actions, lifestyle measures, monitoring, medications, immunisations, complications, and mental health and wellbeing.
General Practice
- GP Detailed Symptom History TemplateA reusable template for documenting a detailed history of present illness, including the chief complaint, symptom characteristics, associated symptoms, relevant context, risk factors, functional impact, and preliminary next steps. It is intended to support comprehensive clinical history-taking and initial assessment across a broad range of presentations.
General Practice
- GP Medical Certification For Leave Or ClaimsA reusable structure for general practitioners to document a patient's condition, diagnostic assessment, treatment plan, prognosis, and work or disability recommendations for medical leave or claims. It also organizes the administrative details, supporting findings, referrals, follow-up, and certification required for clear medical reporting.
General Practice
- UK GP ConsultationA structured template for documenting UK general practice consultations, from the patient's presenting concerns and clinical assessment through examination, treatment, prescribing, risk review and follow-up. It supports concise recording of explicitly stated consultation information in a consistent format.
General Practice
- Procedure NoteA structured template for documenting minor procedures, including the indication, relevant history, examination findings, assessment, consent, procedural details, aftercare, and follow-up. It supports clear recording of laceration repairs and other office-based interventions.
General Practice
- GP Telephone ConsultationA reusable template for documenting general practitioner telephone consultations. It captures the caller and reason for contact, reported history, remotely available findings, clinical assessment, treatment, medication changes, referrals, and follow-up instructions.
General Practice
- Initial Workers' Compensation ConsultationA concise template for documenting an initial workers' compensation consultation. It covers the injury history, symptoms, medical background, examination, diagnosis, work capacity, and management plan.
General Practice