Dassa Alexander/Medical Record

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Dassa Alexander

MEDICAL RECORD
  • Height: 170 cm (5'7")
  • Weight: 54 kilos (119 lbs)
  • Blood Type: 0+
  • T/E Rating: T2/E4

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: None known
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

Generalized anxiety

SUBSTANCE USE HISTORY

  • Alcohol:
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Parent 1 (Mother): None
  • Parent 2 (Father): Cardiovascular disease
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Doctor
  • Diet: Omnivore
  • Exercise: 4 times a week

PHYSICIANS' NOTES

COUNSELORS' NOTES