COMPREHENSIVE EVALUATION PMHNP (progress)

Patient is a [text default="" size=2]-year-old [select name="RACE" value="|caucasian|Hispanic|American Indian|Alaska Native|Black or African American|Native Hawaiian|Pacific Islander|Asian|Two or More Races|Other|No Response"], [select name="GENDER" value="male|female|Trans|Other" memo="sex],
presented for a :[checkbox name="variable_1" value="new onset symptoms | initial evaluation  |follow-up evaluation |ongoing management "] 
 With a Chief Complaint of:[textarea name="ChiefComplaint" memo="What the patient states he or she wants help with - Verbatim statement in Quotes"]
 HPI 
 with reports of [checkbox name="feelings of " memo="depression" value=""][checkbox name="variable_1" value="Low mood  |over Sleepin  |lack of Interest|Guilt|worthlessness|Hopelessness|decrease Energy|poor Concentration|poor focus|poor Appetite|increased  Appetite|weight gain | weight loss|Psychomotor slowing"]
pt describes s/sx started [textarea name="variable_1" default="Symptom duration/ month/years/days"]
 [checklist name="variable_1" value="Suicidal ideation with Plan|Suicidal ideation w/o Plan|Suicidal ideation w/o Plan or intent"]