1. Add the template
Paste this content into My Templates, or start from a specialty-generated template and edit the sections.
Physician Assistants · Templates
PA ambulatory office visit template
Use this PA office visit template in Wavo for clinic encounters where a physician assistant needs a clear chief complaint, focused history and exam, clinical reasoning, and actionable plan—aligned with collaborative practice documentation.
Template content
Copy or download, then paste into Wavo under My Templates.
Physician Assistant Office Visit Note Visit Context - Visit type (new / established), chief complaint, and patient goals. - Supervising / collaborating physician relationship noted if required by site policy or jurisdiction. Subjective - History of present illness with pertinent positives/negatives and red flags. - Relevant PMH, PSH, medications, allergies, social and family history. - Review of systems pertinent to today’s problem(s). Objective - Vital signs, weight/BMI, and general appearance. - Focused physical exam as performed. - Labs, imaging, POC tests, or outside records reviewed today. Assessment - Working diagnosis(es) with clinical reasoning; brief differential if uncertain. - Updates to active problem list as relevant. Plan - Diagnostics, treatments, referrals, patient education, and work/activity guidance. - Follow-up interval, return precautions, and care coordination. - Document discussion with collaborating physician if consultation occurred today.
When to use this template
What makes the structure useful, and which visits it fits best.
Why this template works
Structural advantages for real documentation
Best for
Visit types and clinicians who use this format
- Familiar ambulatory structure with PA-framed SEO and workflow prompts.
- Supports new and return visits without forcing specialty-consult verbosity.
- Keeps counseling, orders, and supervising/collaborating physician touchpoints clear when required.
- Adaptable across primary care, specialty clinic, and multi-site PA practice.
- 1Physician assistant primary care visits
- 2PA specialty clinic ambulatory encounters
- 3Established and new patient PA office visits
Example output shape
Illustrative excerpt of how a visit can land in this structure. Not a real patient record—review and edit every note before signing.
Visit Context Established PA clinic visit for right shoulder pain × 6 weeks after increased overhead gym work. Goal: return to training safely. Subjective Lateral shoulder pain 5/10 with overhead press; no night pain waking from sleep, fever, or neck radiation. Ibuprofen helps partially. No prior shoulder surgery. ROS negative for chest pain or neurologic deficit in the arm. Objective BP 122/78, HR 70. No distress. Right shoulder: tender greater tuberosity; painful arc 80–120°; positive empty-can; Neg Hawkins mild; strength 5/5 with pain; NV intact. Cervical ROM full/non-reproducing. Assessment Right rotator cuff tendinopathy / subacromial impingement pattern; low concern for acute full-thickness tear or cervical radiculopathy today. Plan Activity modification; PT referral for rotator cuff program. NSAID PRN with food. X-ray shoulder if not improving in 4–6 weeks or earlier if weakness progresses. Return sooner for night pain, weakness, or trauma. Patient agrees with plan.
How Wavo automates this
What the product actually does with your template.
2. Record or dictate
Capture the encounter with ambient recording or dictation. Wavo structures the note using your template.
3. Review and sign
Edit with Smart Transform if needed, then export or copy into your EHR. You stay responsible for the final note.
Put this template to work on your next visit
Start free, paste the template, and see how Wavo documents in your structure.