Tap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.
Practice wording only: leave out patient details. Nothing typed here is saved or sent.
ConcernChoose anyFirst line
How it came upChoose one
Immediate safetyChoose one
Food resourcesChoose anyNot in the note with these choices
Food resources add-onsChoose anyNot in the note with these choices
Housing resourcesChoose anyNot in the note with these choices
Housing resources add-onsChoose anyNot in the note with these choices
Community resourcesChoose anyNot in the note with these choices
Community resources add-onsChoose anyNot in the note with these choices
Caregiver safetyChoose anyNot in the note with these choices
Caregiver safety add-onsChoose anyNot in the note with these choices
ReportChoose one
Child abuse or neglect add-onsChoose anyNot in the note with these choices
FirearmsChoose anyNot in the note with these choices
Firearms add-onsChoose anyNot in the note with these choices
Community violenceChoose anyNot in the note with these choices
Community violence add-onsChoose anyNot in the note with these choices
SupportChoose any
Follow-upChoose one
Follow-up reasonChoose anyJoins the line above
Counseling
Many families face these challenges, and the care team can help connect the family with resources between visits.
CounselingNot in the note with these choices
Violence at home is never the caregiver's fault, and help is available at any time through the National Domestic Violence Hotline at 1-800-799-7233. Call 911 for immediate danger.
CounselingNot in the note with these choices
A report to child protective services is required by law when there is concern for a child's safety; the care team will continue to care for the child and support the family through the process.
CounselingNot in the note with these choices
The care team will continue to care for the child and support the family.
CounselingNot in the note with these choices
Storing firearms locked and unloaded, with ammunition locked separately, greatly lowers the risk of injury and death for children and teens.
Counseling
Return precautions given including difficulty meeting basic needs, feeling unsafe at home, threats or violence, new injuries, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
CounselingNot in the note with these choices
Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.
What the sources cover
Concern type (food, housing, utilities, transportation, finances, child care, legal, IPV, abuse or neglect, firearms, community violence)
Screen, caregiver, patient, private discussion
WIC, SNAP, pantry, school and summer meals
Housing: social work, medical-legal partnership, letter, home conditions