VIBRANCE INTERNAL MEDICINE by mmy18338

VIEWS: 6 PAGES: 1

									                    VIBRANCE INTERNAL MEDICINE PROGRESS NOTE – PG 2


NAME________________________________________MR#_________________DATE_______________

LMP (FEMALES)__________________CHANGE IN FHX: Y / N ___________________________________

RECENT ER VISIT OR REFERRAL: Y / N ____________________________________________________

                                     TYPE OF VISIT:

( ) PROBLEM__________________________________________________________________________

( ) FOLLOW-UP ON _____________________________________________________________________

HPI:___________________________________________________________________________________
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                           PHYSICAL EXAM

SKIN: NL / ABNL
                                               EXT: NL / ABNL
HEENT: NL / ABNL
                                               NEURO: NL / ABNL
BREAST: NL / ABNL
                                               MUSCULO: NL / ABNL
COR: NL / ABNL
                                               GU/RECTAL: NL / ABNL
LUNGS: NL / ABNL
                                               GYN: NL / ABNL
ABD: NL / ABNL


ASSESSMENT/ PLAN:
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LABS/TESTS ORDERED:                                    COUNS/REVIEW TIME_______min.



REFERRAL APPT:                                          F/U VISIT:

								
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