• Mesurement of any three of the following seven vital signs: 1)sitting or standing blood pressure, 2)supine blood pressure, 3)pulse rate and regularity, 4)respiration, 5)temperature, 6)height, 7)weight (May be measured and recorded by ancillary staff.)
• General appearance of patient (e.g., development, nutrition, body habitus, deformities, attention to grooming.

• Assessment of muscle strength and tone (e.g., flaccid, cog wheel, spastic) with notation of any atrophy and abnormal movements
• Examination of gait and station.

Psychiatric

• Description of speech including: rate; volume; articulation; coherence; and
• spontaneity with notation of abnormalities (e.g., perservation, paucity of language)
• Description of thought processes including: rate of thoughts; content of thoughts (e.g., logical vs. illogical, tangential); abstract reasoning; and computation
• Description of associations (e.g., loose, tangential, circumstantial, intact)
• Description of abnormal or psychotic thoughts including: hallucinations; delusions; preoccupation with violence; homicidal or suicidal ideation; and obsessions
• Description of the patient's judgment (e.g., concerning everyday activities and social situations) and insight (e.g., concerning psychiatric condition)

Complete mental status examination including:

• Orientation to time, place and person
• Recent and remote memory
• Attention span and concentration
• Language (e.g., naming objects, repeating phrases)
• Fundamentals of knowledge (e.g., awareness of current events, past history, vocabulary)
• Mood and affect (e.g., depression, anxiety, agitation, hypomania, lability)