Basically, a medical report form is a document which will contain the summary of the assessments, observations, and the clinical history of a patient or an individual who underwent a medical treatment with the physician who provided the medical report. In addition, a medical report form in a word format is a type of medical report form in “.DOC” format or in a word document format which can be accessed using a word-processing software application known as Microsoft Word. However, this format can also be opened using other word-processing software applications including the OpenOffice Writer, Corel WordPerfect, and LibreOffice Writer.

Medical Report Form Sample

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Why Use a Medical Report Form in Word Format?

There are a lot of benefits in using a medical report form in word format, and one of the known benefits is that it is the most popular format that the population uses compared to other formats. This is due to the history of word-processing software applications which came first before other applications associated with other formats including “.PDF”, and “.XLS”. In lieu of this, a medical report form in word format will be easy to navigate and use.

Another benefit is that a medical report form in word format is lightweight which means that it will not take up much storage space from the device where it will be downloaded and be saved. Moreover, due to its lightweight feature, it can easily be uploaded as well if the intent of the medical institution or any organization is to use the document online on their website.

Lastly, a medical report form in word format is the basis or can be the building blocks of other formats which then allows the organization to convert the medical report into other formats depending on what they will be preferring to use.

How to Create a Medical Report Form in Word

In creating a medical report form in word, one must first open a word-processing software application or program. Then, the measurements and styles to be used in the form must be defined such as the line-spacing, text or font sizes, and the margins. After setting up the document or sheet to be used, the steps below must be followed:

Step 1: Add the brand banner. This refers to the banner which contains the name of the medical institution and its logo. Additionally, the banner can also be made in simply in the header of the document sheet which is at the topmost margin of the form. Other than the name and logo of the medical institution, their contact information and their main office address can be incorporated into the banner as well.

Step 2: State the instructions and guidelines to be followed. This is where the user of the form will be able to know when the form must be used and what other requirements must be submitted or be enclosed along with the submission of the medical report form.

Step 3: Place the title of the form. The title of the form can be generalized or specified depending on the preferences of the medical institution. For instance, the title can be “Medical Accident Report Form” if the form is to be made for patients or victims of accidents and injuries, while a “Medical Physical Report Form” can be used if the document is intended to be used for athletes or for physical therapy patients. Regardless of the variation, the font to be used should highlight and emphasize the title of the form.

Step 4: Add a section of the basic information of the patient. Also known as the patient information section, this area of the form must be able to gather the basic data of the patient such as the patient’s name, address, phone number, gender, marital status, and blood type.

Step 5: Enlist the medical conditions to be examined and assessed by the physician. There can be a lot of different medical exams to be taken by patients depending on the need of the organization who required the medical report and depending on the patient’s previous medical report or assessment. This is why it is important to list the types of medical conditions to be checked by the physician along with the specific medical tests to be administered to the patient.

Step 6: Create a section for the decision of the physician. This section can indicate a question regarding the patient’s eligibility to join activities. In this section, the physician should be able to affix his signature, the date when he signed the form, and explain his decisions.

Step 7: Save the form. When saving the form, the title of the document should be the file name as well. This is to ensure that there will be proper identification of files and that the form will be located immediately when searching through the device where it is saved.

Types of Medical Report Forms

There are several types of medical report forms which can be used by medical institutions and organizations for their patients. Below are some of the common types of medical report forms in word or in “.DOC” formats:

Medical Device Incident Report Form – Accidents are events which are unexpected yet can lead to the involved parties to have injuries, and even face death. Since accidents can’t be predicted, organizations have protocols and schemes that they mandate for their members, employees, and staff. In the medical field, and in any other field in the industry, it is important that after any type of accident, the involved parties will take time to gather information about the occurrence, starting from the events that lead to the accident till the hour that the paramedics and any authorized personnel have arrived to provide help. And one of the documents to be used by the accident victims and the witnesses is known as the medical device incident report form.

This type of medical report form is to be filled out after an accident that revolves around a medical device or a machine present in the hospital or clinic. In the form, there are seven sections to be completed by the involved medical personnel. The first section is the administrative information section which is for indicating the report type, the report category, and the details of the person submitting the report.

Medical Device Incident Report Form

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The second section of the form is for the clinical event information wherein the description of the event will be stated. If the device is an implantable device, then the date and time when the device was implanted and extracted from the source should be indicated. On the other hand, the third section is for the health care facility information which will state the name, address, and contact number of the involved health care service provider.

The fourth section of the form is intended to have the device information while the fifth section is for the results of the investigations. In the sixth section of the form is for gathering the patient’s details and information, and the seventh section is for listing the other relevant information for the report such as the specific areas in the institution where the same accident happened, and the possible solutions to consider to ensure that the accident will not occur again.

Medical Physical History Report Form – This is the type of medical report form which will be for disclosing the medical and physical history of an individual. In a medical physical history report form, the user will be required to disclose all of his medical and health conditions including the allergies that he has and the infectious diseases that he had in the past.

Medical Physical History Report Form

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The medical physical history report form is usually required to be filled out by business companies and employers for the purpose of maintaining the health safety of the employees and the workplace itself. Aside from the medical conditions of the patient or the user, the specific surgeries that he had taken will also have to be stated in the form as well as his hospitalization information such as the dates when he was sent to the hospital and the reasons why he needed to be attended by a physician.

Medical Report Release Authorization Form – After a medical report form is filled out by the patient and the physician, a medical report release authorization form must be provided to the patient. Although this document should not be given as a mandatory form, it is necessary or essential to be handed to the patient since it is for obtaining the patient’s permission and consent for the medical institution to use his information, as well as disclose his information to the organization who requested the report.

Medical Report Release Authorization Form

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Medical Report Request Form – This is the form to be used by an employer of a physician’s patient who has submitted a job application to the employee and has been selected as one of the prospective job candidates for the position that he is applying for. Specifically, a medical report request form is a formal letter addressed to the physician to inform him that the company, who is the sender of the form, wants to obtain a copy of a patient’s or a job applicant’s medical report as part of the job application requirements.

Medical Report Request Form

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Though there are different types of medical report forms, when using the form, a physician should know and keep in mind the purpose and the goal of the document which is to gather the information of a patient. Moreover, if the form will be sent to another party, the owner of the information or the patient whom the physician administered tests to, should be informed about the intents of the other party, and must give his approval for the usage and the disclosure of his information.

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