Documentation Templates

History and Physical Template 2026

Free comprehensive H&P templates for hospital admissions. Master CMS requirements, Joint Commission standards, and create complete documentation every time.

History and Physical Template 2026
20 min readUpdated December 2024CMS & Joint Commission Compliant

H&P Required Elements (CMS/Joint Commission)

History

  • • Chief Complaint
  • • History of Present Illness
  • • Past Medical History
  • • Medications & Allergies

Review & Exam

  • • Review of Systems
  • • Physical Examination
  • • Heart & Lungs (minimum)
  • • Vital Signs

Assessment

  • • Diagnosis/Impression
  • • Plan of Care
  • • Signature & Date
  • • Authentication

Understanding the History and Physical

The History and Physical (H&P) is the cornerstone of medical documentation, providing a comprehensive snapshot of a patient's health status at the time of hospital admission or significant medical encounter. A well-documented H&P guides clinical decision-making, supports billing, and meets regulatory requirements from CMS and Joint Commission.

Whether you're a medical student preparing for clinical rotations, a resident honing your documentation skills, or an attending physician seeking efficient templates, this guide provides everything you need to create complete, compliant H&P documentation in 2026.

Regulatory Requirement

Per 42 CFR 482.24 (CMS Conditions of Participation), an H&P must be completed no more than 30 days before or 24 hours after hospital admission, and must be placed in the medical record within 24 hours of admission—but always before surgery or anesthesia.

H&P Timing and Update Requirements

Understanding when an H&P is valid and when updates are required is essential for compliance and avoiding denied claims or survey deficiencies.

ScenarioRequirementTiming
New H&P at admissionComplete H&P requiredWithin 24 hours of admission
H&P done within 30 days priorUpdate note requiredWithin 24 hours of arrival, before surgery
H&P done >30 days priorNew complete H&P requiredWithin 24 hours of admission
Continuous hospitalizationOriginal H&P valid for entire stayUpdates via progress notes
Readmission after dischargeNew H&P or valid prior H&P + updateWithin 24 hours of readmission

Important: Surgical Patients

For any patient undergoing surgery or a procedure requiring anesthesia, the H&P (or update) must be completed and in the chart before the procedure begins. This is a non-negotiable patient safety requirement.

Comprehensive H&P Template

Use this template as a framework for complete H&P documentation. Customize based on your institution's requirements and the patient's specific clinical situation.

Patient Information

Patient Name

___________________________

MRN

___________________________

DOB / Age

___________________________

Date of Admission

___________________________

Date of H&P

___________________________

Attending Physician

___________________________

Chief Complaint (CC)

The primary reason for the patient's visit, in their own words when possible.

"[Patient's chief complaint in quotes]"

History of Present Illness (HPI)

Detailed narrative of the patient's current illness. Use OLDCARTS mnemonic for comprehensive documentation.

OLDCARTS Mnemonic

Onset
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatments tried
Severity (1-10)

[Patient] is a [age]-year-old [gender] with a past medical history significant for [relevant PMH] who presents with [CC] for [duration].

The patient reports that symptoms began [onset] and are described as [characteristics]. Symptoms are [better/worse] with [factors]. The patient has tried [treatments] with [results]. Current severity is [X/10]. Associated symptoms include [list]. The patient denies [pertinent negatives].

Past Medical History (PMH)

Medical Conditions

  • 1. _______________________
  • 2. _______________________
  • 3. _______________________
  • 4. _______________________
  • 5. _______________________

Past Surgical History (PSH)

  • 1. ______________ (year: ____)
  • 2. ______________ (year: ____)
  • 3. ______________ (year: ____)

Medications & Allergies

Current Medications

(Include dose, route, frequency)

  • 1. _______________________
  • 2. _______________________
  • 3. _______________________
  • 4. _______________________
  • 5. _______________________

Allergies

(Include reaction type)

  • 1. ___________ → ___________
  • 2. ___________ → ___________

□ NKDA (No Known Drug Allergies)

Social & Family History

Social History

Tobacco: _________________________

Alcohol: _________________________

Drugs: _________________________

Occupation: _____________________

Living situation: __________________

Exercise: _______________________

Diet: ___________________________

Family History

Father: _________________________

Mother: ________________________

Siblings: _______________________

CAD: □ Yes □ No

Diabetes: □ Yes □ No

Cancer: □ Yes □ No Type: ________

HTN: □ Yes □ No

Review of Systems (ROS)

Document positive and pertinent negative findings for each system.

Constitutional

□ Fever □ Chills □ Fatigue
□ Weight loss □ Weight gain
□ Night sweats

HEENT

□ Headache □ Vision changes
□ Hearing loss □ Sore throat
□ Nasal congestion

Cardiovascular

□ Chest pain □ Palpitations
□ Edema □ Orthopnea
□ PND □ Claudication

Respiratory

□ Cough □ SOB □ Wheezing
□ Hemoptysis □ Sputum
□ DOE

GI

□ Nausea □ Vomiting □ Diarrhea
□ Constipation □ Abdominal pain
□ Blood in stool

GU

□ Dysuria □ Frequency
□ Urgency □ Hematuria
□ Incontinence

Musculoskeletal

□ Joint pain □ Muscle pain
□ Weakness □ Stiffness
□ Back pain

Neurological

□ Numbness □ Tingling
□ Weakness □ Dizziness
□ Seizures □ Syncope

Psychiatric

□ Depression □ Anxiety
□ Sleep disturbance
□ SI/HI

All other systems reviewed and negative unless noted above.

Physical Examination

Vital Signs

BP:___/___
HR:_____
RR:_____
Temp:_____
SpO2:____%
Wt:_____

General

Alert, oriented, no acute distress. Well-developed, well-nourished. Appropriate affect.

HEENT

Normocephalic, atraumatic. PERRLA, EOMI. TMs clear. Oropharynx clear, moist mucous membranes.

Neck

Supple, no lymphadenopathy, no thyromegaly, no JVD.

Cardiovascular *

RRR, normal S1/S2, no murmurs/rubs/gallops. No peripheral edema. 2+ pulses bilaterally.

Respiratory *

Clear to auscultation bilaterally. No wheezes, rales, or rhonchi. No respiratory distress.

Abdomen

Soft, non-tender, non-distended. Normoactive bowel sounds. No hepatosplenomegaly.

Extremities

No clubbing, cyanosis, or edema. Full ROM. 5/5 strength throughout.

Neurological

A&Ox3. CN II-XII intact. Sensation intact. DTRs 2+ throughout. Gait normal.

Skin

Warm, dry, intact. No rashes, lesions, or wounds.

Psychiatric

Appropriate mood and affect. Normal speech. Thought process linear. No SI/HI.

* Heart and Lungs are minimum required systems per CMS/Joint Commission

Assessment & Plan

Summary Statement

[Age]-year-old [gender] with PMH of [conditions] presenting with [CC] most likely secondary to [diagnosis].

#1. [Primary Diagnosis]

  • • Workup: [labs, imaging, studies]
  • • Treatment: [medications, interventions]
  • • Consults: [if applicable]

#2. [Secondary Diagnosis]

  • • Continue current management
  • • Monitor for [complications]

#3. [Additional Problem]

  • • Plan details here

Disposition

□ Admit to [unit/floor] □ Observation □ Discharge
Code Status: □ Full Code □ DNR □ DNI □ DNR/DNI □ Comfort Care

Authentication

Performed by:

_________________________________

Print Name / Credentials

Signature:

_________________________________

Signature / Date / Time

Attending Attestation (if applicable):

"I have reviewed the H&P performed by [name] and agree with the documented findings. I was present during key portions of the evaluation and personally examined the patient."

H&P Update Template

When the original H&P was completed within 30 days of admission, use this update template to document any changes in the patient's condition.

H&P Update Note

Original H&P Date: _______________

Update Date/Time: _______________

Reason for Admission: _______________


Interval History:

Since the H&P dated [date], the patient reports: [any new symptoms, changes in condition, or if no changes: "no significant changes"]

Medication Changes: [list any changes or "no changes"]

New Allergies: [list or "none"]

Focused Physical Exam:

VS: [current vitals]
Pertinent findings: [any changes from original H&P]

Assessment: Patient condition is [stable/improved/worsened]. Ready to proceed with planned [surgery/procedure].


Signature: _______________ Date/Time: _______________

Frequently Asked Questions

What is a History and Physical (H&P)?

A History and Physical (H&P) is a comprehensive medical document that records a patient's complete health history and physical examination findings. It serves as the foundation for medical decision-making during hospital admissions, surgeries, and significant medical procedures. The H&P includes chief complaint, history of present illness (HPI), past medical/surgical history, medications, allergies, social/family history, review of systems (ROS), physical exam findings, assessment, and plan.

What are the CMS requirements for H&P documentation?

According to CMS Conditions of Participation (42 CFR 482.24), an H&P must be completed and documented no more than 30 days before or 24 hours after hospital admission, and must be in the medical record within 24 hours of admission. If the H&P was done within 30 days prior to admission, an update documenting any changes must be completed within 24 hours after arrival but before surgery or anesthesia.

Who can perform and document an H&P?

An H&P must be performed by a licensed practitioner who is credentialed and privileged by the hospital's medical staff to perform H&Ps. This typically includes physicians (MD/DO), nurse practitioners (NP), and physician assistants (PA). Medical students may participate but require supervision and co-signature by a credentialed practitioner.

What is the difference between a comprehensive and focused H&P?

A comprehensive H&P includes a complete history and full multi-system physical examination, typically required for hospital admissions and new patient evaluations. A focused H&P concentrates on a specific problem or body system, appropriate for follow-up visits or when addressing a single issue. Hospital admissions require a comprehensive H&P.

When is an H&P update required?

An H&P update is required when the original H&P was completed within 30 days prior to admission. The update must be done within 24 hours after the patient arrives for admission (but before surgery/anesthesia) and must document any changes in the patient's condition since the original H&P. If the H&P is more than 30 days old, a new complete H&P is required.

What are the required elements of a complete H&P?

Per CMS and Joint Commission, required elements include: chief complaint, history of present illness, relevant past medical history appropriate to patient's age, current medications, allergies, review of systems (minimum heart and lungs), complete physical examination, assessment/conclusion/impression, and plan of care.

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