Otorhinolaryngologist (ENT Specialist) Template

New ENT Patient

A professional Otorhinolaryngologist (ENT Specialist) template for healthcare professionals.

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Specialty

Otorhinolaryngologist (ENT Specialist)

Used

2 times

Type

Document

Last edited

2026/06/08

Created by

Chris Hofmeyr

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About this template

Streamline your patient documentation with this essential 'New ENT Patient' template. Designed for Otorhinolaryngologists, this comprehensive clinical note template ensures thorough record-keeping for initial consultations. Capture crucial details like presenting complaints, past medical history, detailed examination findings, and clear diagnoses with ICD-10 codes. Effortlessly document comments on treatment discussions and outline precise management and follow-up plans. Ideal for busy ENT specialists, this template, when used with Heidi, automatically populates fields based on your consultation, ensuring accuracy and saving valuable time on administrative tasks, allowing you to focus more on patient care.

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**Jane Smith** **Date of birth and age:** 12 March 1985 (40 years) **Date of consultation:** 5 January 2026 **Presenting complaint** - Persistent dry cough for 3 weeks - Intermittent shortness of breath on exertion **Past medical history** - Asthma - Allergic rhinitis **Examination** - Mild wheeze on auscultation bilaterally - Oxygen saturation 97% on room air **Diagnosis** - Asthma exacerbation (ICD-10: J45.901) **Comment** - Symptoms discussed in the context of poor adherence to preventer inhaler. Inhaler technique reviewed during consultation.