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Chief Complaint
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Chief Complaint (CC)
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Chief Complaint
• • •
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History of Present Illness
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History of Present Illness (HPI)
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Duration of Illness
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Number of Ketamine Infusions in the Past
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Current Psychiatric Provider
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How Long has Patient been Seeing their Psychiatrist? [X days/weeks/months/years]
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Most Recent Symptom Status
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Duration of Most Recent Symptom Status [X days/weeks/months/years]
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Does patient currently have suicidal thoughts?
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Does patient currently have thoughts of harming others?
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