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GENERAL
*GENERAL (all normal)
- Positive / Negative Values:
General Values
• • •
- Comments:
General Comments
SKIN
*SKIN (all normal)
- Positive / Negative values:
Skin Values
• • •
- Comments:
Skin Comments
- Free Draw / Picture:
Free Draw / Take Picture
HEENT
*HEENT (all normal)
- Positive / Negative Values:
HEENT Values
• • •
- Comments:
HEENT Comments
- Free Draw / Picture:
Free Draw / Take Picture
NECK
*NECK (all normal)
- Positive / Negative Values:
Neck Values
• • •
- Comments:
Neck Comments
- Free Draw / Picture:
Free Draw / Take Picture
BREAST
*BREAST (all normal)
- Positive / Negative Values:
Breasts Values
• • •
- Comments:
Breasts Comments
- Not Examined
Not Examined
CARDIOVASCULAR
*CARDIOVASCULAR (all normal)
- Positive / Negative Values:
Cardiovascular Values
• • •
- Comments:
Cardiovascular Comments
LUNGS
*LUNGS (all normal)
- Positive / Negative Values:
Lungs Values
• • •
- Comments:
Lungs Comments
ABDOMEN
*ABDOMEN (all normal)
- Positive / Negative Values:
Abdomen Values
• • •
- Comments:
Abdomen Comments
- Free Draw / Picture:
Free Draw / Take Picture
URINARY
*URINARY (all normal)
- Positive / Negative Values:
Urinary Values
• • •
- Comments:
Urinary Comments
GENITAL MALE
GENITAL (Male) (all normal)
- Positive / Negative Values:
Genital (Male)
• • •
- Comments:
Genital (Male) Comments
- Not Examined
Not Examined
GENITAL FEMALE
GENITAL (Female) (all normal)
- Positive / Negative Values:
Genital (Female)
• • •
- Comments:
Genital (Female) Comments
- Not Examined
Not Examined
RECTAL
*RECTAL
- Comments:
Rectal Comments
- Deferred
Deferred
EXTREMITIES
*EXTREMITIES
- Positive / Negative Values:
Extrem Values
• • •
- Comments:
Extrem Comments
- Free Draw / Picture:
Free Draw / Take Picture
MUSCULOSKELETAL
*MUSCULOSKELETAL (all normal)
- Positive / Negative Values:
MSK Values
• • •
- Comments:
Musculoskeletal Comments
- Free Draw / Picture:
Free Draw / Take Picture
NEUROLOGICAL
*NEUROLOGICAL (all normal)
- Positive / Negative Values:
Neuro Values
• • •
- Comments:
Neuro Comments
PSYCHIATRIC
*PSYCHIATRIC (all normal)
- Positive / Negative Values:
Psychiatric
• • •
- Comments:
Psychiatric Comments

H&P Physical Exam Medical Form

General Practice

HB Form

There are 1 copies in use.
Published: June 6, 2023, 11:20 a.m.
Doctor: Dr. History Physical
Rating: 0   /

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Sunnyvale, CA 94089

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