MLK Outpatient Clinic Ambulatory Office Visit Note

Chief Complaint
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Intake Information

History of Present Illness
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Review of Systems
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Physical Exam
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Vitals & Measurements
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Assessment/Plan
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Problem List/Past Medical History
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Ongoing
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Historical
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Procedure/Surgical History
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Medications

Inpatient / In-Clinic
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Home
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Allergies
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No Known Medication Allergies

Social History 
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Family History
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Gynecologic History 
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Immunizations
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Latest Vaccine
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Health Maintenance
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Lab Results
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Diagnostic Results
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Goals and Interventions 
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Staying Healthy Assessment
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Addendum
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