Ilene Torza/Medical Records

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Ilene Torza

MEDICAL RECORD
  • Height: 4' 11"
  • Weight: 110 lbs
  • Blood Type: TBD
  • T/E Rating: T4

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: No Known Drug or Food Allergies
  • Sexual/Reproductive History: Not Sexually Active

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • none

PAST SURGICAL HISTORY

  • none

PSYCHIATRIC HISTORY

None

SUBSTANCE USE HISTORY

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

FAMILY MEDICAL HISTORY

  • Mother: None
  • Father: None
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Science
  • Diet: Omnivore, attempts to be healthy
  • Exercise: Aerobic, Three times a week

PHYSICIANS' NOTES

  • None to date

COUNSELORS' NOTES

  • None to date