Academy of Chiropractic Personal Injury & Primary Spine Care Program
Quickie Consult 308
I don't know why so many of you feel compelled to write a heading on your reports. Initial report, follow up report, final report, narrative report??? Perhaps it is the demented electronic medical record companies that are screwing with you and placing them?
The first sentence in your report should state the purpose of the report: Mrs. Jones came to my office today for an evaluation of her low back pain...or...to be examined as a result of a car accident...or... Mrs. Jones was seen today for a follow up evaluation to determine the necessity for ongoing care, etc.
There is no such thing as a final report. What if the patient gets an evaluation or stops care for 6 months and then has an exacerbation? If your last report was final, then why are you seeing her? All of these semantic issues can bite you in the butt in many forums.
Keep it very simple and for verification, read the reports of all of the specialists that you refer to who send you back reports, including orthopedists, neurologists, and neurosurgeons. You will be hard-pressed to find that language and we need to be consistent as specialists in the healthcare community. This is not the place to be separate and distinct as many, including lawyers, will be leery to work with you as a result of the little things and perhaps never consciously even realize why.