Family Medicine Note for CJ

ID:
CC:
HPI:
O:
P:
Q:
R:
S:
T:

Pertinent positives:

Pertinent negatives:

RED flags:

ROS:

MHX:

FHX:

Meds:

Allergies:

PHYSICAL EXAM

ASSESSMENT
Dx:
DDX :

PLAN
1.

Prognosis and Disposition
1. Symptoms should begin to improve within and mostly resolve by.
2. Planned follow up 
3. Call or Return to clinic
4. Go Emergency if
ID:
CC:
HPI:
O:
P:
Q:
R:
S:
T:

Pertinent positives:

Pertinent negatives:

RED flags:

ROS:

MHX:

FHX:

Meds:

Allergies:

PHYSICAL EXAM

ASSESSMENT
Dx:
DDX :

PLAN
1.

Prognosis and Disposition
1. Symptoms should begin to improve within and mostly resolve by.
2. Planned follow up
3. Call or Return to clinic
4. Go Emergency if

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