Subjective
|
|
History of Present Illness
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Past Medical History
|
Past Surgical History
|
Previous treatment
|
|
Review of Systems
|
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General [-]
|
General
• • •
|
General Comments
|
|
Skin [-]
|
Skin
• • •
|
Skin Comments
|
|
Cardiovascular [-]
|
Cardiovascular
• • •
|
CV Comments
|
|
Respiratory [-]
|
Respiratory
• • •
|
Resp Comments
|
|
GI [-]
|
GI
• • •
|
GI Comments
|
|
Urinary [-]
|
Urinary
• • •
|
Urinary Comments
|
|
Periph. Vasc. [-]
|
Periph. Vasc.
• • •
|
Periph. Vasc. Comments
|
|
MSK [-]
|
MSK
• • •
|
MSK Comments
|
|
Neurologic [-]
|
Neurologic
• • •
|
Neuro Comments
|
|
Endocrine [-]
|
Endocrine
• • •
|
Endo Comments
|
|
Psychiatric [-]
|
Psychiatric
• • •
|
Psychiatric Comments
|
|
|
|
New Patient/Follow-up
|
Ingrown
|
Ingrown Follow up
|
Heel Pain/Plantar Fasciitis
|
Neuroma
|
At Risk Footcare
|
New Patient/Follow-up
|
|
Objective
|
|
Physical Exam
|
|
General
|
Cardiovascular
|
Musculoskeletal
|
Dermatologic
|
Neurological
|
|
Imaging
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
Assessment
|
|
|
|
Plan
|
|
|
Procedure
|
Ingrown Nail
|
|
Objective
|
|
Physical Exam
|
|
General
|
Cardiovascular
|
Musculoskeletal
|
Dermatologic
|
Neurological
|
|
Assessment
|
|
|
|
Plan
|
|
Avulsion
|
Matrix
|
|
Nail Avulsion
|
|
Matricectomy
|
|
|
Ingrown Follow up
|
|
Objective
|
|
Physical Exam
|
|
General
|
Cardiovascular
|
Musculoskeletal
|
Dermatologic
|
Neurological
|
|
Assessment
|
|
|
|
Plan
|
|
|
|
Heel Pain/Plantar Fasciitis
|
|
Objective
|
|
Physical Exam
|
|
General
|
Cardiovascular
|
Musculoskeletal
|
Dermatologic
|
Neurological
|
|
Imaging
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
Assessment
|
|
|
|
Plan
|
|
Injection Plan
|
Medrol Plan
|
Injection Plan
|
Steroid Injection
|
Medrol Plan
|
Conservative Plan
|
Neuroma
|
|
Objective
|
|
Physical Exam
|
|
General
|
Cardiovascular
|
Musculoskeletal
|
Dermatologic
|
Neurological
|
|
Imaging
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
New Free Draw
|
Assessment
|
|
|
|
Plan
|
|
Neuroma Injection Plan
|
Neuroma Conservative Plan
|
|
Neuroma injection
|
|
|
Other
|
|
At Risk Foot Care
|
|
Objective
|
|
Physical Examination
|
|