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Physician Assistants · Templates
PA urgent care / walk-in visit template
Built for physician assistants in urgent care and walk-in settings where speed matters but the note still needs red flags, focused exam, procedures, MDM, and a clear discharge or transfer plan.
Template content
Copy or download, then paste into Wavo under My Templates.
Physician Assistant Urgent Care / Walk-In Note Chief Complaint - Primary reason for urgent care visit and symptom duration. History of Present Illness - Onset, mechanism (if injury), course, severity, associated symptoms, treatments tried. - Red flags and contraindications reviewed for the presenting complaint. - Relevant PMH, medications, allergies, tetanus status if injury, and last menstrual period if relevant. Exam - Vital signs and focused exam; neurovascular status for injuries. - Document key negatives supporting discharge home when applicable. Diagnostics / Procedures - Imaging, labs, POC tests ordered/reviewed. - Procedures performed (e.g., laceration repair, I&D, splinting) with indication—link to full procedure note if separate. Assessment - Diagnosis / working impression and acuity. - Differential briefly if uncertain. Disposition / Plan - Medications, wound care, immobilization, work/school restrictions. - Return precautions and follow-up (PCP, ortho, ED). - Transfer/ED referral rationale if escalated. - Supervising physician discussion if required by site policy.
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
- Keeps urgent care visits focused without losing escalation criteria.
- Supports procedures, POC testing, and work/school notes in one place.
- Documents disposition and return precautions clearly for high-volume shifts.
- Aligns with PA urgent care workflows across retail clinics and freestanding UC.
- 1PA urgent care encounters
- 2Walk-in and retail clinic visits
- 3Episodic injury and illness evaluations
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.
Chief Complaint Left ankle injury after misstep off curb 2 hours ago; unable to bear weight initially. HPI Inversion mechanism; swelling lateral ankle; pain 7/10. No head injury, syncope, or numbness. No anticoagulants. Tetanus up to date. Ambulates with limp now. Exam BP 128/80, HR 88. Moderate lateral swelling/ecchymosis. Tender ATFL; no medial or proximal fibula tenderness. Ottawa criteria: bone tenderness at distal fibula tip; unable to take 4 steps in clinic initially. NV intact. Diagnostics X-ray left ankle: no fracture; soft-tissue swelling. Assessment Left ankle sprain (ATFL), moderate; fracture ruled out radiographically. Plan RICE; air stirrup brace; crutches PRN 48–72h. NSAID PRN. Work note: desk duty 3 days, no ladders. Return/ED for numbness, cool foot, or inability to bear any weight after 72h. Ortho/PCP follow-up 5–7 days if not improving. Patient verbalizes understanding.
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.