To whom it may concern,
This is to certify that John Doe was seen and evaluated at our urgent care facility on 1 November 2024. The patient presented with acute anxiety and stress-related symptoms, including palpitations and shortness of breath, which have been ongoing for the past two weeks.
Upon examination, the patient was found to have elevated heart rate and mild hypertension. Diagnostic tests indicated no underlying cardiac issues. The patient’s past medical history includes a previous diagnosis of generalized anxiety disorder and a tonsillectomy performed in childhood. The patient is currently taking Sertraline and has known allergies to penicillin.
The patient was advised to continue with their current medication and to engage in regular mindfulness exercises. It is recommended that the patient take a few days off work to rest and attend a follow-up appointment with their primary care physician in one week.
If you require any further information, please do not hesitate to contact me.
Sincerely,
Dr. Emily Carter
Contact: 555-123-4567
To whom it may concern,
This is to certify that [patient's name] was seen and evaluated at our urgent care facility on [date of visit]. The patient presented with [describe current issues, reasons for visit, discussion topics, history of presenting complaints etc] (only include describe current issues, reasons for visit, discussion topics, history of presenting complaints etc if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.).
Upon examination, the patient was found to have [describe findings from physical examination, diagnostic tests, and any relevant clinical observations] (only include describe findings from physical examination, diagnostic tests, and any relevant clinical observations if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.). The patient’s past medical history includes [describe past medical history, previous surgeries] (only include describe past medical history, previous surgeries if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.). The patient is currently taking [mention medications and herbal supplements] (only include mention medications and herbal supplements if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) and has known allergies to [mention allergies] (only include mention allergies if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.).
The patient was advised to [describe the treatment plan, recommendations, and follow-up instructions] (only include describe the treatment plan, recommendations, and follow-up instructions if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.). It is recommended that the patient [mention any specific instructions or restrictions, such as rest, medication, or follow-up appointments] (only include mention any specific instructions or restrictions, such as rest, medication, or follow-up appointments if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.).
If you require any further information, please do not hesitate to contact me.
Sincerely,
[Doctor's Name]
[Doctor's Contact Information] (only include Doctor's Contact Information if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
(Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)
