New Patient

[select value="Mr.|Ms."] [text] is a [text] YO [select value= "Select|M|F"] that presents to the clinic to establish care. [textarea default="Concerns to discuss today"]
[textarea default="Meds: Allergies: PMH: PSH: FH:"]
SH:
Tobacco: [text]
Alcohol: [text]
Drugs: [text]
Diet: [text]
Exercise: [text]
Occupation: [text]
Family: [text]

Preventative care: [textarea default= "Prevnar (65): Flu: COVID: Shingles(50): Pap Smear: Mammography: Colonscopy: AAA Screening:    Annual Low Dose  CT:"]

[comment memo="AAA screening    1x    men    65-75    ever    smoked.    HepC    1x    18-79.    HIV   1x 15-65. Low    dose    CT    50-80    w/    20+    pack    year    +    quit    <15    yrs    ago.    Mammogram    50-74    every    2yrs.    Osteoporosis    65.    DM    35-70    IF    overweight.  Under    25    G/C,    HPV    (under    65),    Tdap"  ]