| General | General Abnormal• • • | 
|  | General Comments | 
| HEENT | HEENT Abnormal• • • | 
|  | HEENT Comments | 
| Skin | Skin Comments | 
| Neck | Neck Abnormal• • • | 
|  | Neck Comments | 
| Cardiovascular | Cardiovascular Abnormal• • • | 
|  | Cardiovascular Comments | 
| Lungs | Lungs Abnormal• • • | 
|  | Lungs Comments | 
| Abdomen | Abdomen Abnormal• • • | 
|  | Abdomen Comments | 
| MSK  | MSK Abnormal• • • | 
|  | MSK Comments  | 
| Breasts | Breasts Abnormal• • • | 
|  | Breasts Comments | 
| Genital | Genital Notes | 
| Neurological• • • | Neuro Comments | 
| Extremities | Extrem Abnormal• • • | 
| Extrem Comments |  | 
| Psych• • • | Psych Comments | 

