Well Child Exam - Adolescence: 15-18 Year
(result) Hct or Hgb (result) Dyslipidemia (result) (1X 18-20) STI Screening (result) Cervical Dysplasia (result) Glucose Immunizations: Immunizations Reviewed, Given & Charted If necessary but not given, document rationale Tdap HPV Flu MCV4 MCIR checked/updated Patient Unclothed Yes No Review of Systems Physical ................
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