The following page has examples for the following common chief complaints seen in primary care.

Feel free to download the templates to use as reference and personalize to what works best for you!

• URI / cough

• Dysuria / suspected UTI

• Sore throat

• Otitis media / ear pain

• Sinus symptoms

• Rash

• Low back pain

• Abdominal pain

• Headache

• Hypertension follow-up

• Type 2 diabetes follow-up

• Anxiety/depression follow-up

• Asthma/COPD follow-up

• Hyperlipidemia follow-up

• Medication refill visit

• Annual physical / preventive visit