01

Establish the baseline

The first visit should create a usable clinical starting point, not only a prescription request.

  • History, goals, prior attempts, medications, allergies, and relevant risks.
  • Clinic-defined measurements, vitals, labs, and required forms.
  • Assessment, treatment options, patient education, and agreed goals.
  • Clear follow-up cadence and responsibility for outstanding results.
02

Manage recurring care

High-frequency programs fail when the next action lives in memory.

  • Review progress, tolerance, adherence, changes, and patient questions.
  • Document medication decisions and monitoring by the licensed clinician.
  • Track open labs, results, refill-related work, and escalation tasks.
  • Schedule the next checkpoint before closing the current one.
03

Connect clinical and operational data

The clinic needs to understand both care continuity and program performance.

  • Tie inventory and products to documented clinic activity.
  • Measure active patients, follow-up completion, schedule utilization, and program retention.
  • Separate clinical communication from promotional outreach.
  • Review incomplete charts and unresolved tasks as part of the daily operating rhythm.

Clinical and operational references

Use this guide as an operational starting point, not legal or medical advice. Clinic requirements vary by jurisdiction, services, licensure, and scope of practice.

ONC SAFER Guides ↗HHS HIPAA Security Rule ↗CDC core infection-prevention practices ↗