| General WNL | General Abnormal• • • | 
| General Comments |  | 
| HEENT WNL | HEENT Abnormal• • • | 
| HEENT Comments |  | 
| Skin WNL | Skin Lesion | 
| Skin Comments |  | 
| Neck WNL | Neck Abnormal• • • | 
| Neck Comments |  | 
| Cardiovascular WNL | Cardiovascular Abnormal• • • | 
| Cardiovascular Comments |  | 
| Lungs WNL | Lungs Abnormal• • • | 
| Lungs Comments |  | 
| Diabetes | Diabetes Concerns• • • | 
| Diabetes Comments |  | 
| Abdomen WNL | Abdomen Abnormal• • • | 
| Abdomen Comments |  | 
| Female Urogenital System | Female Urogenital Abnormal• • • | 
| Female Urogenital Comments |  | 
| Male Urogenital System | Male Urogenital System Abnormal• • • | 
| Male Urogenital Comments |  | 
| MSK WNL | MSK Abnormal• • • | 
| MSK Comments  |  | 
| Breasts WNL | Breasts Abnormal• • • | 
| Breasts Comments |  | 
| Neuro WNL | Neuro Abnormal• • • | 
| Neuro Comments |  | 
| Extremities WNL | Extrem Abnormal• • • | 
| Extrem Comments | Mental Health Abnormal• • • | 
| Mental Health |  | 
| Mental Health Comments |  | 
|  |  | 

