Chaperone SystmOne Template
2. The Chaperone Examination Template
This will open the chaperone Examination Template
1. If you are a clinician and have offered a chaperone click on the chaperone offered
2. Click on the pencil to add any applicable text
3. Tick the box for examination explained if you have explained the examination to the patient
4. Refused / not available or not offered a chaperone
If patient refuses a chaperone, chaperone is not available or if a chaperone was not offered, click on the relevant tick box below and enter any comments using the notes box provided (the pencil icon)
5. If you are a chaperone
If you have been asked to chaperone, tick the chaperone present box below and then click on the pencil icon






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