Hospital Follow Up Medical Note Template

The hospital follow up visit MedicalTemplate is suitable for hospitalists, internal medicine physicians, family practice physicians, and other health care providers working in hospitals. 

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When completed, and in conjunction with a supporting level of medical decision making, the Hospital Follow Up MedicalTemplate meets or exceeds the documentation requirements in the 1995 and 1997 Medicare Guidelines for E&M services for the highest level of service for subsequent hospital visits.

How to use MedicalTemplates

Hospital Follow Up Progress Note MedicalTemplate

E & M Documentation Template


The hospital follow up visit MedicalTemplate contains prompters and space for all the required elements for a E&M encounter.  

  • History  Click here to learn about History Documentation

    • Chief complaint
    • History of present illness
    • Past medical and surgical history
    • Social history
      • Risk factors for disease (occupational exposures, smoking, and others)
    • Family history
    • Review of systems
      • Yes/No checkboxes for clear and complete documentation

  • Examination  Click here to learn about Physical Exam Documentation

    • When completed, represents a comprehensive (highest) level physical exam as defined in 1997 Guidelines.
    • General Multisystem Exam
    • Checkboxes for pertinent negatives and common positive findings
  • Medical Decision Making  Click here to learn about MDM Documentation

    • Full page for adequate space with complex patients
    • Easy Documentation with checkboxes 
      • Review of labs, tests, imaging, old records
      • Coordination of care
      • Common diagnostic and therapeutic options
    • Assessment and plan 

Medical Documentation References and Resources


Digital Health Record

The Hospital Follow Up MedicalTemplate functions like all other PDF files, but they have editable text fields and working checkboxes.  This allows information to be typed in or pasted from other applications to fill out the template.

Filled MedicalTemplates can be printed and saved to a computer, USB drive, CD, DVD, or other storage device to create a digital health record for your patients.

To learn more about how MedicalTemplates can be used as a digital health record, click here.





MedicalTemplates are in the Adobe PDF format, which requires the free Adobe Reader.  With Adobe Reader, these templates can be printed as many times as needed on paper meeting your specifications or the specifications of any clinic, hospital, or other health care facility.

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