Transition to Adult Care — Outpatient Specialty Care and Primary Care

Recommendations for Content to Include in Final Clinic Note or Letter

Review smart phrase .adultphillypcpsf for a list of current providers.

The following table includes suggested content for specialty services to include in their last letter for patients transitioning from CHOP to adult care.
Current Medical Care	Current state Patient with epilepsy — when was last seizure How frequent are the seizures Typical duration for seizures Triggers/symptoms etc. Pertinent physical exam findings Recent pertinent hospitalizations, labs, radiology Current medications managed Frequency of visits/monitoring Presence of intellectual disability, if applicable
History	Previous treatments, medication trials, diagnostic imaging results
Ancillary Services	Durable medical equipment for any equipment or devices Home nursing PT/OT service Case management, social worker, or care coordinator Insurance information Guardianship and name of legal guardian, if applicable
Contingency Instructions for conditions that have episodic flares and Emergency Plan	If there is a change in the patient’s condition, include steps for necessary action plan If patient is taken to the Emergency Department or is seen by emergency personnel, include steps for necessary action plan
Contact Information	Current provider name, office number and email

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.