Maxwell Traenor/Medical Record

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< Maxwell Traenor
Revision as of 00:26, 7 January 2015 by Maxwell Traenor (talk | contribs) (Cleaned form for further entry)
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Maxwell Traenor

MEDICAL RECORD
  • Height: 185 cm (6'1")
  • Weight: 95 kilos (210 lbs)
  • Blood Type:
  • T/E Rating: T0

PAST MEDICAL HISTORY

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

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • 2388:

PAST SURGICAL HISTORY

  • SD 238911.12:
    • Surgeon:
    • OR Site:
    • Op Note:

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol:
  • Recreation Drugs:
  • Other:

FAMILY MEDICAL HISTORY

  • Siblings:

SOCIAL HISTORY

  • Marital status:
  • Children:
  • Occupation/Assignment:
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

COUNSELORS' NOTES

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