|
Subjective
|
|
|
CC:
|
|
|
Subjective:
|
|
|
Energy
• • •
|
Bowels
• • •
|
|
Sleep
• • •
|
Digestion
• • •
|
|
Appetite
• • •
|
Mood
• • •
|
|
Objective
|
|
|
Objective
|
Pulses
|
|
Tongue
• • •
|
Coating
• • •
|
|
Tongue drawing
|
Blood Pressure
/
|
|
Abdomen Exam
• • •
|
Breathing
• • •
|
|
Assessment
|
|
|
Switch to yes for assessment statement
|
Improv. since last visit
|
|
Chinese Medicine Diagnosis
|
|
|
Next Visit "__days, weeks"
|
|
|
Plan
|
|
|
Plan
|
|
|
1st 15min points NO estim
|
1st 15min points WITH estim
|
|
2nd 15min points NO estim
|
2nd 15min points WITH estim
|
|
3rd 15min points NO estim
|
3rd 15min points WITH estim
|
|
4th 15min points NO estim
|
4th 15min points WITH estim
|
|
"ON" If no reinsertion
|
|
|
Manual Therapy 15min
|
|
|
Addtl 15min Manual Therapy
|
|
|
Addtional Tx - cranial, etc.
|
|
|
Herbs & Instructions
|
|
