Which of the following is NOT a service included in the IPPE?

The choice that is not a service included in the Initial Preventive Physical Examination (IPPE) is surgical consultation. The IPPE is designed to focus primarily on preventive services and assessments, which are aimed at evaluating patients' overall health and risk factors for diseases.

Services encompassed in the IPPE include a review of social history, as understanding a patient's lifestyle and habits is essential in assessing risk factors for health problems. Referrals for preventive services are also part of the IPPE, as it involves identifying patients' needs for further preventive care based on their current health status. Additionally, the performance and interpretation of an ECG can often be included when it's relevant for assessing cardiovascular health during the examination.

In contrast, a surgical consultation is more focused on evaluating a patient for potential surgical procedures or interventions rather than on preventive care. It typically occurs in a different context than the IPPE, which aims to gather comprehensive health information for preventive purposes rather than addressing specific surgical needs. Therefore, this choice correctly identifies a service that falls outside the scope of the IPPE.