Miscellaneous
Share
Tweet
Cite
approximately 165 views since I made an informed decision.
CC:
[checkbox value="pain |nausea |cancer |seizures |glaucoma |crohn's |PTSD |hepatitis C |HIV |AIDS |muscle spasms |cachexia |agitation of Alzheimer's |ALS"]

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]

VITALS:
BP: [text] HR: [text] HT: [text] WT: [text]

GENERAL APPEARANCE
[textarea default="Alert. No distress. Well-nourished and developed."]

HEAD
[textarea default="Normocephalic and atraumatic."]

BACK
[textarea default="Normal posture."]

CHEST
[textarea default="Normal respiratory excursions on room air"]

ABDOMEN
[textarea default="Unremarkable. "]

EXTREMITIES
[textarea default="Normal bulk and tone. No abnormal or involuntary movements. Moving all extremities equally well without focal or lateralized motor deficits. Peripheral pulses regular. No joint contractures or deformities."]

GAIT
[textarea default="Normal base, balance, stride mechanics, and turns."]
CC:


HPI:
Patient presents for

SH:
Alcohol:
Tobacco:
Work:

VITALS:
BP: HR: HT: WT:

GENERAL APPEARANCE


HEAD


BACK


CHEST


ABDOMEN


EXTREMITIES


GAIT

Result - Copy and paste this output:

Send Feedback for this SOAPnote

Your email address will not be published.

More SOAPnotes by this Author: