General Practitioner Template
GP note
A professional General Practitioner template for healthcare professionals.
About this template
Looking for a quick and efficient way to document patient consultations? This GP note template is designed for General Practitioners to streamline their clinical documentation. This template allows you to capture essential information like presenting issues, examination findings, diagnosis, and the management plan. It's perfect for busy practices aiming to improve their documentation process. With Heidi, this template can be automatically populated from your consultations, saving you time and ensuring comprehensive records.
Preview template
F2F: Patient presented today with a three-day history of a sore throat, cough, and mild fever. She reports feeling generally unwell and has noted some body aches. She denies any difficulty breathing or chest pain. No significant past medical history. She reports no known allergies.
Examination: Temperature 38.2°C. Mildly erythematous pharynx. No tonsillar exudates. Lungs clear to auscultation.
Diagnosis or impression: Upper respiratory tract infection (URTI), likely viral.
Plan: Advised rest, fluids, and paracetamol for symptomatic relief. Encouraged to monitor for worsening symptoms, such as difficulty breathing or chest pain, and to seek further medical attention if these develop. Provided safety netting advice regarding potential complications. Follow-up not required unless symptoms worsen or do not improve within a week. Patient was given a leaflet on self-care for URTI. Date: 1 November 2024
How to use this template
Step 1
Download the template
Get started by downloading the template to your device
Step 2
Customize to your needs
Tailor the template to match your specific requirements
Step 3
Deploy and share
Implement your customized template and share with your team
Start practicing with a partner
Care is better with Heidi