Problem Number
|
Site
|
Status-Post Mohs Micrographic Surgery + Repair
|
|
type
|
x____days
|
SUBJECTIVE
• • •
|
|
Physicians Notes
|
|
Quality
|
Severity
|
When appeared?
|
How long it lasts?
|
How often?
|
|
OBJECTIVE
• • •
|
|
Physicians Notes
|
|
Culture Done
|
Sites
|
ASSESSMENT
• • •
|
|
PLAN
• • •
|
Return to clinic in ____ month(s)
|
Other
|
|