Primary Care — Upper Respiratory Infection Template

The Upper Respiratory Infection Template is designed for primary care providers evaluating and treating patients with acute upper respiratory symptoms including cough, congestion, sore throat, and sinus symptoms. This focused template documents symptom assessment, physical examination findings, determination of viral vs. bacterial etiology, appropriate treatment including symptomatic care and antibiotic stewardship, and patient education on expected course and warning signs. The template supports appropriate billing for acute care visits and includes sections for symptom onset and duration, associated symptoms including fever and systemic symptoms, physical examination including HEENT and respiratory assessment, assessment of red flags requiring further evaluation, determination of viral vs. bacterial etiology, treatment plan emphasizing symptomatic care and appropriate antibiotic use, patient education on expected course and self-care, and return precautions. This template ensures quality acute care, supports antibiotic stewardship, reduces inappropriate antibiotic prescribing, and improves patient outcomes through appropriate management. Ideal for primary care practices, urgent care centers, and practices managing high volumes of acute respiratory complaints.