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Family Medicine Specialist Template

Clearwater T2DM Severity Assessment

A professional Family Medicine Specialist template for healthcare professionals.
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Specialty

Family Medicine Specialist

Used

11 times

Type

Note

Last edited

12/08/2025

Created by

Tanner Moore

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About this template

Need a quick and easy way to assess your patients' diabetes severity? This Clearwater T2DM Severity Assessment template is perfect for Family Medicine Specialists. It helps you systematically evaluate key indicators like A1C, blood pressure, ASCVD risk, and more. This template, when used with Heidi, will automatically populate the fields based on your patient's visit transcript, saving you time and ensuring comprehensive documentation. Easily calculate a total severity score and classify the patient's condition for better management and care. Simplify your diabetes assessments today!

Preview template

Type 2 Diabetes Severity Assessment Patient Information John Smith 12/03/1960 1234567 01 November 2024 Assessment Criteria and Scoring A1C 8.2 1 Blood Pressure 145/92 2 ASCVD Risk 12% 2 Waist Circumference 42 inches 3 BMI 32 2 Evidence of Fatty Liver Disease with AST/ALT lab scores AST: 30 ALT: 35 2 Diabetic Foot Exam Score 1 1 eGFR 55 2 Last Retinal Exam 06/06/2023 2 On Medications Metformin 1000mg twice daily, Lisinopril 20mg daily 3 Total Severity Score Calculation Add all individual scores together. Total calculated severity score: 18 Overall diabetes severity classification: Critical

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