Viral

Patient presents to clinic with complaints of [text] lasting [text]. Symptoms have [select value= "improved|worsened|stayed the same"] since onset. Patient [select value= "admits to|denies"] sick contacts [text]. Palliative factors [text]. Provoking factors [text]. Patient [select value= "admits to|denies"] recent illness. [text]. Treatment includes [text]. 
[textarea name="variable_1" default="sample text"]

ROS(+):[checklist value="sore throat|cough|runny nose|HA|fatigue|fever"][text]
ROS(-):[checklist value="sore throat|cough|runny nose|HA|fatigue|fever"]

[textarea]

COVID [select name="variable_1" value="Positive|Negative"]
Flu [select name="variable_1" value="Positive|Negative"]
RSV [select name="variable_1" value="Positive|Negative"]
Strep [select name="variable_1" value="Positive|Negative"]

Recommendations:
Increase fluids, tea and honey 
Mucinex for chest congestion to help thin mucous
Benedryl at night to stop post nasal drip and help with sleep [comment memo="avoid in older males with BPA, can cause urinary retention"]
Sudafed behind the counter to stop post nasal drip [comment memo="Only if no elevated BP"]