Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Consult - History and Phy.

Consultations, initial evaluations, new patient visits, history and physicals, etc.



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Normal ROS Template - 5
Normal review of systems template. Negative weakness, negative fatigue, native malaise, negative chills, negative fever, negative night sweats, negative allergies.

Not Feeling Well - ER Visit
A 93-year-old female called up her next-door neighbor to say that she was not feeling well. The patient was given discharge instructions on dementia and congestive heart failure and asked to return to the emergency room should she have any new problems or symptoms of concern.

OB/GYN - H&P
Initial obstetrical examination - Normal first pregnancy. Inadequate naternal nutrition.

OB/GYN Consultation - 1
Female referred for evaluation of an abnormal colposcopy, low-grade Pap with suspicious high-grade features.

OB/GYN Consultation - 2
Consultation because of irregular periods and ovarian cyst.

OB/GYN Consultation - 3
Consultation for an ASCUS Pap smear.

OB/GYN Consultation - 4
Pelvic Pain and vaginal discharge

Occupational Medicine Consult
Occupational medicine consult with questions-answers and records review.

Occupational Medicine Consult - 1
Occupational medicine consult with questions-answers.

Occupational Medicine Consult - 2
Occupational medicine consult with questions-answers and records review.

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NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples