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PMP
by Bert - 02/27/2025 1:22 PM
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Posts: 34
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#68563
03/10/2016 12:14 PM
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Joined: Jan 2011
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Hello everyone. I was wondering how other offices do excuse notes? Do you have a template in AC? If so, do you save all the notes in Imported Items?
We used to have a form that we just manually fill out and give to the patients. Then one time someone made a bunch fake excuses from our form by xeroxing and whiting out the dates. So we decided to make an AC template and save them to II. However, now there's so many of them clogging our II. We're considering going to back the manual form.
The pros of saving in II is we can easily reprint the letter if the patient lost it or if they need additional excused days.
Another option is having an AC template but not saving it in II.
What does your office do?
Serene Office Manager General Pediatrics Houston, Texas
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Hi Serene,
We have a paper form that we use. The provider fills it out and then it gets scanned into II and the original is handed to the patient.
Marty Physician Assistant Fullerton, CA
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Joined: Mar 2005
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I usually try to write excuse notes as a custom order, being sure to unclick the diagnosis box. Then the order is saved with the visit or can also be written separately but is still readily found.
Greg
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Joined: Sep 2009
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The letter writer now allows you to create a template. After doing the letter, you have the option of saving to the patient's chart, or not. If it "clogs your II" then don't save them.
Jon GI Baltimore
Reduce needless clicks!
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Joined: Nov 2009
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I do it in the form of a prescription titled "work note" or "school note", Details in the sig. area possibly extending into notes.
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Joined: Nov 2006
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Counterfeit excuse notes for school kids! Ain't life grand?
John Internal Medicine
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I'd go old school for these and hand them a paper script from a script pad. Or even fax it to the school directly. If it looks computer generated and a kid is motivated and dishonest enough, they can try to forge a prescription in Word, or whatever Word processing program they have and they can make any document at home roughly match an AC document or fake an office letterhead. That's why I like "real" prescription pads. Too hard to fake or copy with VOID written all over them.
Trista C.
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Joined: Oct 2015
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So sad we have to think this way...
Trista C.
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I'd go old school for these and hand them a paper script from a script pad. Or even fax it to the school directly. If it looks computer generated and a kid is motivated and dishonest enough, they can try to forge a prescription in Word, or whatever Word processing program they have and they can make any document at home roughly match an AC document or fake an office letterhead. That's why I like "real" prescription pads. Too hard to fake or copy with VOID written all over them. I guess I am not worried about forged excuses, it only hurts the faker in the long run,not like forged prescriptions. And if there is a question about the excuse I have it documented in the chart, what I wrote and when I did so. Which may not be the case with a written paper script, that they may forge and change dates on anyway :^) Greg
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Joined: Jan 2010
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I, too, use the Letter Writer. It's pretty quick with a template.
Chris Living the Dream in Alaska
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Joined: Sep 2003
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As usual, I take a completely different side. I couldn't care less if they forget it. I will even show them how to do it. I don't have time to write these school scripts.
I don't have time to tell daycare, that yes, the baby can have new formula. Or tell the school they were out for two days. It's all lies anyway. I write anything they tell me to write. I send them to my receptionist, she asks me what to write, I tell her to write what they say.
The bottom line is this. The school needs to teach and not worry about all the other crap. The stupid thing is I can write for anything, and they will honor it. Service dog. Wheelchair. Special straws for the milkshakes. I am tempted to write for a Porsche and see what they do.
None of this happened when I was a kid.
Bert Pediatrics Brewer, Maine
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