Case Management Assessment Form
Apr 27, 2010 · Yes No Night Sweats Yes No PID Yes No Chills Yes No Thrush Yes No Fatigue Yes No Dysphagia Yes No Malaise Yes No Cold Sores Yes No Weight Loss >10 lbs Yes No Seizures Yes No Loss of Appetite Yes No Change in Vision Yes No Diarrhea > 1wk Yes No Periodontal Disease Yes No Herpes Yes No Short Term Memory Loss Yes No Syphilis Yes No Hepatitis Yes No ................
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