Outpatient Follow-Up Progress Note Template
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Patient Name:
Date / Time:
Reason for Visit:

Subjective:
- Interval History:
- Medication Adherence:
- Patient Concerns:

Objective:
- Vitals:
- Physical Exam Highlights:
- Labs/Imaging Reviewed:

Assessment:
- Active Problems with Status:
- Response to Treatment:

Plan:
- Diagnostics Ordered:
- Medication Changes:
- Education/Instructions:
- Follow-up Timing:

Provider Signature & Credentials
Date / Time