|
Areas of pain
• • •
|
Level of pain
|
|
Comments
|
Face Diagram
|
|
Patient smokes
|
how long / packs per day
/
|
|
Testing
|
|
|
Visited earlier
|
|
|
Visit information
|
|
|
Patient visited before
|
|
|
Has the pt visited before
|
|
