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