HPI Form Template
Streamline Patient Assessments with Our HPI Template
Collecting detailed patient histories can be time-consuming and complex. Our HPI form template is designed for medical professionals seeking to gather clear and concise information on patient illnesses, ensuring accurate diagnoses and effective treatment plans. With this template, you can streamline data collection, improve communication with patients, and enhance your documentation process, all while maintaining compliance with medical standards. Experience the benefits of using our user-friendly HPI form template today.
When to use this form
Use this template when you need a clear, structured history of the current symptom before or during a visit. It helps primary care, urgent care, telehealth, and rehab teams capture onset, location, quality, severity, and modifiers in minutes. Use it at check-in to speed triage, during a virtual visit to guide questions, or after an injury to track progress. Pair it with the Patient encounter form to document assessment and plan, and with the Medical history form to pull chronic conditions and medications into context. For wellness or multi-condition reviews, the Health profile form form helps round out risk factors. Teams get consistent notes, fewer gaps, and faster decisions.
Must Ask HPI Questions
- When did the problem start, and how has it changed since then?
Timeline anchors the episode and flags urgency or chronicity. It helps you spot patterns like sudden onset versus gradual build, which guides testing and triage.
- Where is the symptom located, and does it radiate anywhere?
Location and radiation help narrow the source and rule in or out referred pain. Clear mapping supports accurate exams and imaging orders.
- How would you describe the symptom quality and severity (include a 0-10 rating)?
Quality words like sharp, burning, or pressure point to likely causes. A numeric scale lets you track response to treatment over time.
- What makes it better or worse, including activities, positions, and tried medications?
Modifiers reveal biomechanics, triggers, and effective self-care. For functional issues, your notes can feed into the Physical therapist evaluation form.
- What related symptoms are present, and how does this affect daily activities or work?
Associated signs and functional impact uncover red flags and severity. This context supports safer decisions and prioritizes next steps.
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