MMJ Tele

Visit:
[checkbox value="Telehealth. |Office Visit. |Telephone"] [textarea]

CC:
[checkbox value="pain |nausea |cancer |seizures |glaucoma |crohn's |PTSD |hepatitis C |HIV |AIDS |muscle spasms |cachexia |agitation of Alzheimer's |ALS"]

[text name="variable_1" default="sample text"]


Condition Associated:
[checkbox value="Cachexia/Wasting syndrome |PTSD
|Severe or chronic pain |Severe nausea |Severe or persistent muscle spasm |Seizures"]

HPI:
Patient presents for [checkbox value="an initial MMJ certification. |a MMJ certification renewal. |a MMJ consultation. "] [textarea]

SH:
Alcohol: [checkbox value="none |rarely |occasionally |regularly "] [text]
Tobacco: [checkbox value="none |cigarettes |pipes |vape |chew/dip "] [text]
Work: [checkbox value="none |retired |disabled |full time |part time |student |stay-at-home parent"] [text]


General - well developed, well nourished, no apparent distress
-HEENT - normocephalic, atraumatic, nares patent, mucous membranes moist
-Neck - no gross distention, no visible overt defect-PSYCH - appropriate mood/affect
-NEURO - mentation normal/appropriate, no gross/overt cranial nerve deficits
-ADDITIONAL EXAM - Speaking in full sentences



ROS: Attached
Medication and allergies reviewed

Assessment: [checkbox value=" Patient Qualify for Medical Cannabis Program FU instructions given |Patient does not qualify"] [text]

Plan:
Will follow up as needed, answered all questions and fu instructions given. RTC and ED instructions given