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Chief Complaint
Introduction
Choose Complaints
• • •
Primary Symptom Severity (1-10)
Other Complaint(s)
History of smoking?
Secondary Categories
Exertional anginal chest pain
Non-exertional anginal chest pain
MS dull positional chest pain
GERD chest pain
Sharp chest pain
New Short Text Field
Procedure Bundles
99215 PT Procedures
Additional Comments
Photos and Diagrams
Patient Photos
Heart Image
Patient Photo 1
Knee Image
Patient Photo 2
Brain Image
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Heart & Lungs Image
Spinal Column
Eye Image
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Foot Image
New Free Draw

DrChrono Urgent Care | Minimal Input Maximum Output Medical Form

Urgent Care

DrChrono's minimal input maximum output form, customizable for your Urgent Care practice.

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Published: Dec. 11, 2018, 6:36 p.m.
Doctor: Dr. History Physical
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