TOTAL HEALTH CLINIC
TOTAL HEALTH CLINIC |
PATIENT DETAILS Personal information Example Name Julie Anne ... Garcia |
Contact phone: (1) 219 442 9785 Date of birth: (2) 10(th) October, 1992 Occupation: works as a (3) manager Insurance company: (4) CawleyLife Insurance
Details of the problem Type of problem: pain in her left (5) knee When it began: (6) 3 weeksago Action already taken: has taken painkillers and applied ice
Other information Sports played belongs to a (7) tennisclub goes (8) runningregularly Medical history injured her (9) shoulder(s)last year no allergies no regular medication apart from (10) vitamins |