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
F | W | T | N | I | A | L | P | M | O | C | C | C | R | M |
K | E | M | H | E | I | G | H | T | Q | O | Q | B | N | U |
E | I | R | A | I | G | F | Q | N | E | P | G | E | N | J |
A | G | E | U | E | S | P | T | S | R | A | N | V | M | F |
X | H | S | A | S | R | T | S | Y | F | Y | S | P | E | X |
X | T | P | L | D | S | U | O | E | A | X | O | O | K | G |
B | U | I | U | O | K | E | T | R | V | Y | Q | L | O | O |
R | V | R | N | L | V | D | R | A | Y | O | C | W | Z | F |
S | L | A | V | S | S | D | S | P | R | H | Q | Y | C | R |
N | B | T | D | U | U | E | Q | O | D | E | S | V | R | V |
H | S | I | O | D | B | R | Y | L | W | O | P | O | R | K |
O | Q | O | Z | X | R | I | A | Q | G | E | O | M | M | O |
X | F | N | A | M | E | E | B | N | L | Z | T | L | E | J |
M | S | S | Z | F | N | Q | S | F | C | O | C | W | B | T |
V | V | G | X | X | C | C | G | S | X | E | H | B | K | O |
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