TB13 HPClinicInitialHealthAssessmentHistoryExam2018
MEDICAL HISTORY +/- COMMENTS MEDICAL HISTORY +/- COMMENTS Allergies Diabetes Mental Illness/ developmental delays HIV/STD If HIV+, CD4 count: Date: _____ Respiratory Problems ... (2nd visit) Long-Term Care: (Nsg. Home ( Hospital-Based ( Residential ( Mental Health Res. ( … ................
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