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Templates, Clinical notes, Longevity medicine

Longevity medicine initial consultation note template

A longevity initial consultation note template that sets out what belongs in each section, ready to adapt to your own clinic. Below it is the same note filled in by the wai scribe from an invented consultation, line by line, for the clinician to read and sign.

Updated . Written by our clinical team, generic by design, with no dosing advice.

01Initial consultation note

TemplateLongevity medicine

Patient
[Name]
Date of birth
[Date]
Record number
[Number]
Clinician
[Name, registration number]
Consultation
[Date and time], [in person or video]

Longevity initial consultation note

1Presenting complaint

  • The reason for the visit, in the patient's own words where they are useful.
  • How long it has been going on.

2History of the presenting complaint

  • The patient's goals, and what they want to know about their health.
  • Activity, sleep, nutrition and stress, in their own words.

3Past history, medicines and allergies

  • Medical history and family history of early cardiovascular disease, cancer and diabetes.
  • Current medicines and supplements, and allergies.

4Social and family history

  • Occupation, smoking, alcohol and anything else relevant to the complaint.
  • Family history where it changes risk or management.

5Examination

  • Observations, body measurements and any assessment results, with values recorded.

6Impression

  • Risk factors identified, with the evidence behind each.
  • What the results do and do not show.

7Plan

  • Changes agreed, with a measurable goal for each.
  • Further tests or referrals, and who reviews them.

8Safety-netting

  • What should prompt the patient to get back in touch, and how.
  • When the next review is due.

Draft

[Clinician name]

[Role], [registration number]

Signed [date], [time]

How the wai scribe fills it

The same note, written from an invented consultation.

Each line links to the moment in the transcript it came from, and the clinician reads, corrects and signs the note before it is filed.

01Initial consultation note

SignedAI-assisted, edited by the clinician

Patient
Invented patient, for illustration
Clinician
[Clinician name]
Consultation
In person

Longevity initial consultation note

1Presenting complaint

  • Aged 50, wishes to understand modifiable health risks.00:40

2History of the presenting complaint

  • Walks daily. Sedentary at work. Around six hours of sleep.02:10

3Past history, medicines and allergies

Completed by the clinician from the record.

4Social and family history

Completed by the clinician from the record.

5Examination

  • BP 142/88. Waist and weight recorded.04:50

6Impression

  • Raised BP on a single reading. Family history of premature cardiovascular disease.06:30

7Plan

  • Home BP monitoring for one week. Lipids and HbA1c requested. Review with results.07:40

8Safety-netting

  • Advised to seek urgent help with chest pain or severe headache.08:20

Signed and filed

[Clinician name]

[Role], [registration number]

Signed [date], [time]

Questions

What goes in a longevity initial consultation note?

Presenting complaint, History of the presenting complaint, Past history, medicines and allergies, Social and family history, Examination, Impression, Plan and Safety-netting. Each section on this page lists what belongs in it, written for longevity medicine.

Is the worked example a real patient?

No. The consultation is invented for this page, and no real patient or record is used.

Does the scribe sign the note?

No. The scribe drafts the note from the consultation, and the clinician reads, corrects and signs it, with the time and the change from the draft kept on the record.

Can we use our own note structure?

Yes. Your clinic's own sections are set up once, and the scribe writes each consultation into them.

The initial consultation note in other specialties

All clinical notes
  1. Private GPPrivate GP initial consultation note
  2. DermatologyDermatology initial consultation note
  3. AestheticsAesthetics initial consultation note
  4. FertilityFertility initial consultation note
  5. PhysiotherapyPhysiotherapy initial consultation note
  6. Mental healthMental health initial consultation note
  7. DentalDental initial consultation note

Further reading

  1. ProductThe AI medical scribe for clinics
  2. Read nextWho signs an AI clinical note, and how to review it
  3. Read nextSOAP and specialty note templates for an AI scribe
  4. RegulatorThe CQC compliance hub

Come back to the note, written and ready to sign.

See the wai scribe write a longevity initial consultation note on your own structure, in a 15 minute video call.

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