Templates
Medical
Medicare Annual Wellness Visit Checklist
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Medicare Annual Wellness Visit Checklist

1
Schedule the Medicare Annual Wellness Visit
2
Prepare necessary patient forms
3
Inform the patient about the purpose of the visit
4
Update patient's personal and family medical history
5
List current care providers and prescribed medications
6
Route patient for weight and blood pressure measurement
7
Check patient's vision and hearing
8
Perform routine physical examination
9
Schedule preventive tests and screenings
10
Document patient's potential risk factors
11
Identify activities to improve patient's health
12
Discuss end-of-life planning if applicable
13
Approval: Patient's Wellness Plan
14
Provide patient with a checklist of preventive services
15
Discuss future appointments and treatment plan
16
Create a written summary for patient's records
17
Send patient reminders for their next scheduled appointment