Chapter 11 Crossword Puzzle

5. _____ consent forms advise the patient on treatment options, risks of procedures, and voluntary participation.
8. If a patient brings in _____ results from another physician, the MA should not throw them out because you will do your own tests, but keep them with the chart and document the information.
9. To correct any entry in a medical record, draw a _____ line through the error, initial and date, then make the correction.
12. History of heart murmurs, Problems with asthma, and _____ are included on a medical history form?
13. Original _______ legally belongs to the physician and belongs in the patient’s medical chart
15. The actual medical record belongs to the ____
16. Which of the elements of SOAP charting describes the data that comes directly from the patient
18. _______ calls require documentation in the patient chart.
19. ______ in charting means not leaving out information
22. Transforming spoken notes into accurate form.

1. Of the six Cs ______ means “getting to the point”
2. As a general rule, if information is not______, no one can prove that an event or a procedure took place
3. ______ from other physicians cannot be released by a medical office?
4. A patient's history of present illness includes ______ and onset of disease
6. Patient’s _________ words should be included when documenting in a patient’s medical record?
7. If a child lives with his mother who is divorced from his father, the mother or father may sign the _____ of information.
10. Which of the elements of SOAP charting describes the course of treatment to be followed?
11. Patient _____ form is the first form used in initiating a patient financial record.
14. BP 160/92 would be filed under _______ using the SOAP documentation method
17. Records of people age _____ and older are held in confidentiality
19. Client’s words, clarity, completeness, conciseness, chronological order, and confidentiality are the six Cs of ____.
20. Abbreviation for physical therapy
21. The P in SOAP documentation stands for