INSTRUCTIONS: Do NOT download or make a copy of this

file. Rather, just copy the texts below and paste it on

Practice Fusion or another word document.
Telemed template:
HPI-ROS:

The patient presents today on a Telemed session for...

The patient was informed and acknowledged that this examination/visit was
restricted in scope due to the constraints of telemedicine and the absence of a
physical examination. It is important to recognize that an examination lacking a
physical component may lead to the omission or incompleteness of diagnoses.

OBJECTIVE:

All issues were discussed and addressed but a limited physical exam performed
other than verbalization over the phone. The patient verbally consented to visit.

General: Patient does/does not appear to be in acute distress.

PLAN:

1.

The overall duration of the visit encompasses various stages, including preparatory
tasks, reviewing records, direct interaction with the patient, promptly
documenting the encounter, prescribing medications/tests, communicating with
the care team as necessary, and coordinating care. During the visit and upon its
conclusion, ample time was allocated for the patient to pose questions and seek
clarifications, which they expressed satisfaction with regarding the responses and
information provided. The patient has been encouraged to reach out should any
questions or concerns arise before their next scheduled appointment. The
telemedicine session conducted via Zoom proceeded smoothly without any issues.

I, Dr. Hello, personally performed the services described in this documentation, as

scribed by (HVA name w/o post-nominal titles) in my presence, and it is both
accurate and complete.

This Document is an Intellectual property of HELLO RACHE ®. The reproduction and sharing of this with a third party is strictly
prohibited. HELLO RACHE ® and HEALTHCARE VIRTUAL ASSISTANT ® marks are owned by Temark International, Inc.
Copyright © 2022 Temark International, Inc. | All Rights Reserved.
 Live Encounter Template:

SUBJECTIVE

HPI-ROS:

The patient is here for…

REVIEW OF SYSTEMS:

General: Generally healthy, no change in strength or exercise tolerance.

Head: No headaches, no vertigo, no injury.

Eyes: Normal vision, no diplopia, no tearing, no scotomata, no pain.

Ears: No change in hearing, no tinnitus, no bleeding, no vertigo.

Nose: No epistaxis, no coryza, no obstruction, no discharge.

Mouth: No dental difficulties, no gingival bleeding, no use of dentures.

Neck: No stiffness, no pain, no tenderness, no noted masses.

Chest: No dyspnea, no wheezing, no hemoptysis, no cough.

Heart: No chest pains, no palpitations, no syncope, no orthopnea.

Abdomen: No change in appetite, no dysphagia, no abdominal pains, no bowel

habit changes, no emesis, no melena.

GU: No urinary urgency, no dysuria, no change in nature of urine.

Musculoskeletal: No pain in muscles or joints, no limitation of range of motion, no

paresthesias or numbness.

Neurologic: No weakness, no tremor, no seizures, no changes in mentation, no

ataxia.

Psychiatric: No depressive symptoms, no changes in sleep habits, no changes in

thought content.

PERSONAL, FAMILY & SOCIAL HISTORY are listed on the chart and reviewed.

OBJECTIVE
This Document is an Intellectual property of HELLO RACHE ®. The reproduction and sharing of this with a third party is strictly
prohibited. HELLO RACHE ® and HEALTHCARE VIRTUAL ASSISTANT ® marks are owned by Temark International, Inc.
Copyright © 2022 Temark International, Inc. | All Rights Reserved.
General: Awake, alert, and oriented in no acute distress. Conversant and friendly
affect.

Vitals:

Head: Normocephalic, no lesions.

Eyes: Pupils equal round and reactive, extra-ocular muscles intact. Conjunctivae
clear, no injection or discharge, sclera non-icteric.

Ears: EACs clear, TMs normal bilaterally.

Nose: Mucosa normal, no obstruction, no discharge.

Throat: Clear, no exudates, no lesions, no erythema.

Neck: No JVD, no masses, no thyromegaly, trachea midline, ROM normal; no

meningeal signs.

Heart: Regular rhythm and rate, no murmurs, no rubs, no gallops.

Chest: Lungs clear bilaterally, no rales, no rhonchi, no wheezes, normal chest

movement, no use of accessory muscles of respiration.

Abdomen: Soft, no tenderness, no masses, BS normal, no organomegaly, no bruits.

Back: Normal curvature, no tenderness.

Extremities: No deformities, no edema, no erythema. Range of motion WNL, pulses

intact.

Neuro: No localizing findings. Mentation appropriate. Short term memory intact.

Speech normal. CN 2-12 intact. No cognitive dysfunction. No sensory or motor
deficits. Gait normal.

PLAN

1.
2.

The comprehensive encounter visit time comprises pre-visit preparations,

reviewing records, promptly documenting encounters, prescribing
medications/tests, communicating with the care team if necessary, and
coordinating care. During the visit and upon its conclusion, the patient was
afforded ample opportunity to ask questions and seek clarification. The patient
expressed satisfaction with the responses and information provided. They have
been encouraged to reach out if any questions or concerns arise before their next
scheduled visit.

This Document is an Intellectual property of HELLO RACHE ®. The reproduction and sharing of this with a third party is strictly
prohibited. HELLO RACHE ® and HEALTHCARE VIRTUAL ASSISTANT ® marks are owned by Temark International, Inc.
Copyright © 2022 Temark International, Inc. | All Rights Reserved.
I, Dr. Hello, directly rendered the services detailed in this documentation, as
transcribed by (HVA name without post-nominal titles), under my supervision,
ensuring its accuracy and completeness.

Normal exam template for Optometry

Objective:

Visual Acuity:

- Right eye (OD): 20/20 (corrected)

- Left eye (OS): 20/20 (corrected)

- Both eyes (OU): 20/20 (corrected)

- Pupils: Equal, round, reactive to light and accommodation

Extraocular Movements: Full range of motion

Confrontation Visual Fields: Full bilaterally

External Examination: No ptosis, proptosis, or conjunctival injection

Anterior Segment: Clear cornea, normal anterior chamber depth, no signs of

cataract

Posterior Segment (Fundoscopy): Optic discs sharp and well-defined, no

hemorrhages or exudates, macula and vessels appear normal

Intraocular Pressure: Within normal limits bilaterally

Normal exam template for Psychiatry

Objective:

Appearance and Behavior: Cooperative, appropriately dressed and groomed,

makes good eye contact.

Mood: Euthymic, appropriate affect.

Thought Process: Logical and coherent; no evidence of racing thoughts or flight of

ideas.
This Document is an Intellectual property of HELLO RACHE ®. The reproduction and sharing of this with a third party is strictly
prohibited. HELLO RACHE ® and HEALTHCARE VIRTUAL ASSISTANT ® marks are owned by Temark International, Inc.
Copyright © 2022 Temark International, Inc. | All Rights Reserved.
Thought Content: No hallucinations or delusions; denies suicidal ideation or
homicidal thoughts.

Cognition: Oriented to person, place, and time; intact memory and concentration.

Insight/Judgment: Good insight into her mental health condition; demonstrates

appropriate judgment.

Physical Exam: Within normal limits.

Normal exam template for Dermatology

Objective:

General Appearance: Well-nourished female/male in no acute distress

Skin Examination: Inspection of the skin reveals no abnormalities. No evidence of

moles with irregular borders, asymmetry, color variation, or diameter greater than
6 mm. No signs of dermatitis, eczema, or other cutaneous lesions. Skin texture
appears normal, with no signs of atrophy, scarring, or abnormal pigmentation.

Distribution: Skin examination performed on all exposed areas, including face,

neck, chest, back, arms, and legs.

Palpation: No tenderness, warmth, or induration appreciated on palpation of skin.

Dermatologic Examination: No evidence of lesions suggestive of skin cancer. No

palpable lymphadenopathy appreciated.

Rx pad for orders:

This Document is an Intellectual property of HELLO RACHE ®. The reproduction and sharing of this with a third party is strictly
prohibited. HELLO RACHE ® and HEALTHCARE VIRTUAL ASSISTANT ® marks are owned by Temark International, Inc.
Copyright © 2022 Temark International, Inc. | All Rights Reserved.
 Quick guide to

This Document is an Intellectual property of HELLO RACHE ®. The reproduction and sharing of this with a third party is strictly
prohibited. HELLO RACHE ® and HEALTHCARE VIRTUAL ASSISTANT ® marks are owned by Temark International, Inc.
Copyright © 2022 Temark International, Inc. | All Rights Reserved.
 I. Creating new patients.
1. Navigate to the Charts section on the left-hand navigation bar
and click Add patient.

2. Complete all required fields.

II. Creating new encounters.

1. Navigate to Charts and input the patient's name.
2. Once in the Summary section, click New Encounter.

III. Adding a diagnosis to your encounter.

This Document is an Intellectual property of HELLO RACHE ®. The reproduction and sharing of this with a third party is strictly
prohibited. HELLO RACHE ® and HEALTHCARE VIRTUAL ASSISTANT ® marks are owned by Temark International, Inc.
Copyright © 2022 Temark International, Inc. | All Rights Reserved.
 1. To add a diagnosis from the Assessment of a SOAP note,
navigate to the section and click Add next to the section header.
From the dropdown, you can click Search results to find a new
diagnosis.

IV. Extracting encounters to PDF format.

1. Click the Print button in the top right corner of the encounter
page.

2. When printing a note, a window will display allowing you to

check/uncheck certain portions of the encounter to print,
including the SOAP sections. You can select the items you want
to print and click Print.
3. A window will display a print preview of the encounter. Click the
printer icon to use your system-based print dialogue to finish
printing the encounter. Make sure that the destination is to your
printer.

This Document is an Intellectual property of HELLO RACHE ®. The reproduction and sharing of this with a third party is strictly
prohibited. HELLO RACHE ® and HEALTHCARE VIRTUAL ASSISTANT ® marks are owned by Temark International, Inc.
Copyright © 2022 Temark International, Inc. | All Rights Reserved.
 4. Save in PDF format as the destination instead of your printer.

This is your friendly reminder to please refrain from ordering any

medications, diagnostics, or referrals in Practice Fusion.

This Document is an Intellectual property of HELLO RACHE ®. The reproduction and sharing of this with a third party is strictly
prohibited. HELLO RACHE ® and HEALTHCARE VIRTUAL ASSISTANT ® marks are owned by Temark International, Inc.
Copyright © 2022 Temark International, Inc. | All Rights Reserved.