MedicalTemplates has developed a primary care clinic follow up medical note template. This medical note template is suitable for internal medicine physicians, family practice physicians, and other health care providers. Fillable Adobe PDF form E&M Documentation Template Reminders for 8 Medicare 2007 PQRI Quality Measures The clinic follow up template contains prompters and space for the following required elements for a E&M encounter - Chief complaint History of present illness Past medical and surgical history Social history Family history Review of systems Review of data Physical exam (General Multisystem Exam) Assessment and plan Medicare 2007 PQRI Quality Measure reminders included for #1 Hemoglobin A1C Poor Control in Diabetics #2 Low Density Lipid Control in Diabetics #4 Screening for Future Fall Risk #5 Heart Failure: ACE or ARB for LVSD #7 Beta blocker therapy for CAD #8 Beta blocker therapy for LVSD #9 Antidepressant medication during new episode major depression #46 Medication Reconciliation #47 Advanced Care Plan Download the Medicare 2007 PQRI Quality Measures from here.