H&P Template

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HPI

CC:

onset:

quality:

radiation:

Severity:

Timing/context:

Pt concerns:

ROS:

Denies CP/SOB/N/V/Abd Pain/Extremity swelling/MSK problems.


Allergies:

Meds:

Relevant PMH:

Relevant PSH:

Relevant FH:

Social Hx: tobacco - alcohol - occupation

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