NOTICE: NEW ORDERS FOR THIS INFORMATION CAN ONLY BE OBTAINED BY PURCHASING "THE STARR HEALTHCARE REFERENCE" WHICH INCLUDES ALL OF THIS INFORMATION PLUS THOUSANDS OF ADDED PAGES OF NEW INFORMATION. TO PURCHASE, GO TO: WWW.316ART.COM (A DOWNLOAD PRODUCT).
THIS INTERNET PAGE REMAINS FOR USE BY PREVIOUS LICENSED FACILITIES ONLY.
These forms can only be used by physicians and medical facilities that have been licensed by Starr Vision Productions, Inc. Unauthorized persons or companies may not use these forms. Each form listed below can be viewed or downloaded to your computer for later viewing by clicking on the title. Some computers (and Netscape) may require you to hold down your shift key while clicking on the title to download it to your computer. Internet Explorer requires you to click the right mouse button on the download link to download and save it to you computer's disk. By downloading or viewing these forms, you agree that you have read the disclaimer and copyright notice.
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Please e-mail us if you have any problem downloading a specific form or if you have questions.
NOTE: IF YOU HAVE ADOBE ACROBAT READER SET UP WITH NETSCAPE AS A HELPER APPLICATION, YOU CAN VIEW AND PRINT THE FORM, WITHOUT DOWNLOADING IT BY JUST CLICKING ON IT. OTHERWISE, DOWNLOAD THE FORM BY HOLDING DOWN THE SHIFT KETY WHILE CLICKING ON THE DESIRED FORM. YOU WILL NEED THE PASSWORD TO VIEW AND PRINT ANY FORM. A PASSWORD IS NOT REQUIRED TO DOWNLOAD THE FORM TO YOUR COMPUTER.
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GENERAL INSTRUCTIONS FOR USING RICKS MEDICAL FORMS
Download General
Instructions (geninst.pdf) No password required to view or download the
general instructions.
REMEMBER: Each form listed below can be downloaded to your computer by clicking on the title. Some computers may require you to hold down your shift key while clicking on the title. PASSWORDS ARE REQUIRED FOR USE OF ALL FORMS! YOU MUST ORDER AND PAY TO RECEIVE PASSWORDS!
PHYSICIAN'S OFFICE - CHIEF COMPLAINT FORMS
Abdominal
Pain Form (PAB-1/98)
Back Pain
Form (PBA-1/98)
Chest Pain
Form (PCH-1/98)
Extremity
Injury Form (PEX-1/98)
GI Bleeding
Form (PGIB-1/98)
Head Injury
Form (PHI-1/98)
Laceration
/ Wound Form (PLAC-1/98)
MVA and
Trauma Form (PMVA-1/98)
Pediatric
Fever Form (PPED-1/98)
Presentation
Form (PPR-1/98)
Respiratory
Problems Form (PRP-1/98)
PHYSICIAN'S OFFICE - PHYSICAL EXAM FORMS
Cardiovascular
Examination Form (CV-1/98)
ENT Examination
Form (ET-1/98)
Eye Examination
Form (EY-1/98)
Genitourinary
Examination Form (GU-1/98)
Hematologic
Examination Form (HE-1/98)
Multi
System Examination Form (MS-1/98)
Musculoskeletal
Examination Form (MU-1/98)
Neurologic
Examination Form (NE-1/98)
Psychiatric
Examination Form (PS-1/98)
Respiratory
Examination Form (RE-1/98)
Skin Examination
Form (SK-1/98)
PHYSICIAN'S OFFICE - PHYSICIAN AND NURSE FORMS
Physician Complete
Examination Form (PH-1/98 and PY-1/98)
Physician Past
History / Review of Systems Form (RS-1/98)
Physician
Continuation Form (PHY-1/98)
Physician
Medical Data Summary Form (MDS-1/98)
Physician
Visit History Form (VIS-1/98)
Nurse Complete
Assessment Form (PNUR-1/98)
Nurse Continuation
Form (PNB-1/98)
REMEMBER: Each form listed below can be downloaded to your computer by clicking on the title. Some computers may require you to hold down your shift key while clicking on the title. PASSWORDS ARE REQUIRED FOR USE OF ALL FORMS! YOU MUST ORDER AND PAY TO RECEIVE PASSWORDS!
EMERGENCY DEPARTMENT - CHIEF COMPLAINT FORMS
Abdominal
Pain Form (AB-1/98)
Back Pain
Form (BA-1/98)
Chest Pain
Form (CH-1/98)
Extremity
Injury Form (EX-1/98)
GI Bleeding
Form (GIB-1/98)
Head Injury
Form (HI-1/98)
Laceration /
Wound Form (LAC-1/98)
MVA and
Trauma Form (MVA-1/98)
Pediatric
Fever Form (PED-1/98)
Presentation
Form (PR-1/98)
Respiratory
Problems Form (RP-1/98)
EMERGENCY DEPARTMENT - PHYSICAL EXAM FORMS
Cardiovascular
Examination Form (CV-1/98)
ENT Examination
Form (ET-1/98)
Eye Examination
Form (EY-1/98)
Genitourinary
Examination Form (GU-1/98)
Hematologic
Examination Form (HE-1/98)
Multi System
Examination Form (MS-1/98)
Musculoskeletal
Examination Form (MU-1/98)
Neurologic
Examination Form (NE-1/98)
Psychiatric
Examination Form (PS-1/98)
Respiratory
Examination Form (RE-1/98)
Skin Examination
Form (SK-1/98)
EMERGENCY DEPARTMENT - PHYSICIAN AND NURSE FORMS
Physician Complete
Examination Form (ED-1/98 and PY-1/98)
Physician Past
History / Review of Systems Form (ROS-1/98)
Physician
Continuation Form (PHY-1/98)
Nurse Complete
Assessment Form (NUR-1/98)
Nurse Continuation
Form (NB-1/98)
REMEMBER: Each policy and/or procedure listed below can be downloaded to your computer by clicking on the title. Some computers may require you to hold down your shift key while clicking on the title. PASSWORDS ARE REQUIRED FOR USE OF THESE POLICIES AND PROCEDURES! YOU MUST ORDER AND PAY TO RECEIVE PASSWORDS!
EMERGENCY DEPARTMENT CONSULTANT POLICIES AND PROCEDURES
Download
SAMPLE Emergency Department Policies and Procedures Reference NO PASSWORD
REQUIRED.
Download
Complete Emergency Department Policies and Procedures Reference This is a
large file (5.8 MB) which requires a long time to download on dial up
connections. Password required.
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