American College of Physicians | Internal Medicine | ACP
Last occult blood ____/____/____ Last Osteoporosis screening ____/____/____ (Must be 23 months for Medicare reimb.) Physical Exam: Vital Signs: Weight: _____ lbs. Blood Pressure: _____ Temp_____ Examination of Breasts: No Yes Comments: No significant clinical findings Breast Implants Mastectomy Distinct palpable mass or thickening Skin dimpling ... ................
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