Internal Medicine templates
Free Internal Medicine document templates written and shared by clinicians on Rhazes. Preview any template, then save it to your own library.
20 shared by clinicians
- Hospitalist H&PA comprehensive inpatient admission template for documenting the presenting concern, history, review of systems, examination, investigations, and problem-based assessment and plan. It also captures two-midnight documentation and total time spent.
Internal Medicine
- Hospital Discharge SummaryA reusable template for documenting a patient's hospital course, including treatments, significant events, changes in condition, and interventions. It also captures explicitly stated follow-up guidance and patient education to support continuity of care after discharge.
Internal Medicine
- GIM Ward Round TemplateFor daily ward rounds
Internal Medicine
- Lecture and Webinar NotesA reusable template for documenting medical lectures and webinars, including their topics, key takeaways, discussion points, resources, and personal reflections. It supports structured continuing medical education notes and future reference.
Internal Medicine
- General follow-upThis template structures internal medicine follow-up documentation, covering subjective complaints, relevant history, examination findings, assessment, and plan. It supports monitoring ongoing and chronic conditions, including medication adherence, diagnostic testing, referrals, and continuity of care.
Internal Medicine
- Internal Medicine Hospital Discharge SummaryA structured discharge summary template for Internal Medicine documentation. It captures admission and discharge dates, responsible and pre-existing diagnoses, hospital interventions and course, medications, discharge destination, follow-up instructions, allergies, end-of-life details, and completed forms.
Internal Medicine
- Hospitalist Inpatient AdmissionThis template supports comprehensive inpatient admission documentation by covering the presenting concern, history, review of systems, examination, investigations, assessment and plan, hospital-stay expectations, and encounter time.
Internal Medicine
- Internal Medicine Consultation LetterA consultant-style internal medicine letter for communication with a referring physician. It organizes the referral context, medical history, medications, symptoms, examination, investigations, impression, and detailed management plan.
Internal Medicine
- Medical ClerkingA structured template for documenting comprehensive medical admissions, from the presenting complaint and clinical history through examination, investigations, impression, and management. It supports consistent recording of relevant background, medications, allergies, social factors, observations, and follow-up plans.
Internal Medicine
- Internal Medicine New Patient AssessmentA reusable template for documenting a comprehensive internal medicine assessment of a new patient. It covers the referral reason, patient details, presenting illness, medical and social history, medications, family history, examination, investigations, discussion summary, and management plan.
Internal Medicine
- Doctor's Note for WorkA reusable medical letter template for documenting a patient's work restriction, including identifying details, examination findings, diagnosis, treatment plan, leave period, return-to-work guidance, and clinician information.
Internal Medicine
- Internal Medicine Consultation Summary LetterA structured letter template for sending a detailed medical summary to a referring doctor. It covers patient identifiers, diagnoses, history, examination, investigations, management, outcome, and relevant attachments.
Internal Medicine
- Mounjaro ConsultationA concise documentation framework for consultations involving Mounjaro and other GLP-1 receptor agonists. It captures treatment eligibility, anthropometric details, relevant history, contraindications, pharmacological action, adverse effects, safe use, and follow-up planning.
Internal Medicine
- SBAR handoverA structured handover template for communicating a patient's Situation, Background, Assessment, and Recommendations. It supports concise transfer of essential clinical information, including patient identifiers, current concerns, relevant history, findings, and explicitly stated plans.
Internal Medicine
- Hospitalist Progress NoteA structured template for documenting the daily inpatient course, current findings, issue-based assessment and plan, and discharge-related care details. It supports concise communication among hospital medicine and other inpatient teams.
Internal Medicine
- Healthcare Team Meeting NotesA reusable template for documenting healthcare team meetings, including meeting details, participants, discussion items, referenced materials, and assigned actions.
Internal Medicine
- Internal Medicine New Consultation NoteA structured template for documenting an internal medicine new-patient consultation. It covers the referral reason, presenting illness, medical and family history, medications, examination, investigations, summary, and plan.
Internal Medicine
- Medical Transfer NoteA structured template for documenting the transfer of inpatient medical care between healthcare facilities. It covers the clinical course, recent updates, review of systems, examination findings, assessment and plan, safety measures, and disposition.
Internal Medicine
- Internal Medicine Follow-Up Visit NoteA reusable template for documenting internal medicine follow-up visits, covering the referral reason, updated history, examination findings, discussion summary, and concise management plan. It supports follow-up care for ongoing conditions, including hypertension and diabetes.
Internal Medicine
- Internal Medicine Progress NoteA structured template for comprehensive internal medicine follow-up documentation. It organizes physical examination findings, diagnostic testing, problem-oriented assessment and treatment plans, and health maintenance activities.
Internal Medicine