H&P Med / Social History
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Med Hx
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Past Medical History
• • •
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Past Medical History Freewrite
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Sx Hx
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Past Surgical History
• • •
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Comments
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Social History
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Marital Status
• • •
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Occupation
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Alcohol
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Comments
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Other substances
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Alcohol/tob/drug
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Pregnant
• • •
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