Followup Note Transcript

Date:  mm/dd/yyyy

Re:  xxxxxxxxxxx
DOB:  mm/dd/yyyy

 

REASON FOR VISIT: 

 

REVIEW OF SYSTEMS: 

 

PHYSICAL EXAMINATION:
GENERAL: 
VITAL SIGNS: 
SKIN: 
NECK: 
HEENT:  
CHEST: 
CARDIAC: 
ABDOMEN: 
NEURO: 
EXTREMITIES: 
LABORATORY DATA: 

 

ASSESSMENT AND PLAN: 

 

DD:  mm/dd/yyyy
DT:  mm/dd/yyyy

 

 

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