MedicalTemplates has developed an internal medicine clinic history and physical form. This form is suitable for internal medicine physicians, family practice physicians, and other health care providers.

The Internal Medicine Clinic H&P template contains prompters and space for the following required elements for a E&M encounter -

Chief complaint
History of present illness
Past medical and surgical history
Social history
Family history
Review of systems
Review of data
Physical exam (General Multisystem Exam)
Assessment and plan


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.