Patient preperation
Information that should be obtained BEFORE the doctor sees the patient.
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ADDRESS
BLOODPRESSURE
COMPLAINT
COPAY
HEIGHT
HISTORY
INSURANCE
NAME
OTC
PULSE
RESPIRATIONS
TEMPERATURE
WEIGHT
| Y | F | P | C | Y | T | Y | R | O | T | S | I | H | P | Z |
| A | E | L | Z | X | R | F | A | E | C | A | W | E | M | B |
| P | B | R | C | W | D | T | G | R | N | K | J | I | L | L |
| O | W | E | U | N | C | H | Q | U | O | S | Z | G | H | Z |
| C | Z | S | J | S | S | G | Z | T | F | J | P | H | P | R |
| O | Z | P | O | Y | S | I | A | A | S | V | O | T | T | L |
| M | U | I | I | A | L | E | D | R | W | F | A | E | A | N |
| P | K | R | N | Q | O | W | R | E | H | T | M | N | K | O |
| L | C | A | H | S | J | Y | F | P | U | L | S | E | J | N |
| A | A | T | D | I | U | R | R | M | D | V | X | R | P | S |
| I | I | I | M | D | X | R | O | E | V | O | J | J | R | G |
| N | N | O | J | G | R | O | A | T | C | T | O | F | D | S |
| T | A | N | A | M | E | E | P | N | Z | L | E | L | N | E |
| M | A | S | I | I | R | O | S | Z | C | M | R | Z | B | X |
| E | R | U | T | S | A | A | J | S | S | E | B | F | C | Z |
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