Karynn Ehlanii Brice/Medical Record: Difference between revisions
Jump to navigation
Jump to search
Line 63: | Line 63: | ||
===SOCIAL HISTORY=== | ===SOCIAL HISTORY=== | ||
*'''Marital status:''' | *'''Marital status:''' Married to [[Brice, Ethan|Ethan Brice]] | ||
*'''Children:''' | *'''Children:''' | ||
*'''Occupation/Assignment:''' | ** Stepson [[Brice, Matthew|Matthew Brice]] | ||
*'''Diet:''' | *'''Occupation/Assignment:''' Counselor, ''[[USS Darwin-A]]'' | ||
*'''Exercise:''' | *'''Diet:''' Reasonable although not a health nut. She likes her junk foods (especially chocolate and coffee). | ||
*'''Exercise:''' Minimal to moderate depending on circumstances. She is looking into lessons in personal defense and sometimes tries to get to the gym. | |||
|- | |- | ||
|style="background:teal;" colspan=3 height=4| | |style="background:teal;" colspan=3 height=4| | ||
Line 73: | Line 74: | ||
|style="background:teal;"| | |style="background:teal;"| | ||
|colspan=2| | |colspan=2| | ||
===PHYSICIANS' NOTES=== | ===PHYSICIANS' NOTES=== | ||
*'''Medical Officer:''' | *'''Medical Officer:''' |
Revision as of 21:23, 24 May 2014
LAST NAME, FIRST NAME MIDDLE NAME
| ||
MEDICAL RECORD | ||
---|---|---|
| ||
PAST MEDICAL HISTORY
| ||
PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST SURGICAL HISTORY
| ||
PSYCHIATRIC HISTORYNo illnesses, phobias, or other psychiatric history SUBSTANCE USE HISTORY
| ||
FAMILY MEDICAL HISTORY
| ||
SOCIAL HISTORY
| ||
PHYSICIANS' NOTES
| ||
COUNSELORS' NOTES
|