Consultation Note Transcript

Date:  mm/dd/yyyy

Re:  xxxxxxxxxx
DOB:  mm/dd/yyyy

REASON FOR CONSULT:

HISTORY OF PRESENT ILLNESS: 

REVIEW OF SYSTEMS: 

PAST MEDICAL HISTORY: 

FAMILY HISTORY: 

SOCIAL HISTORY: 

MEDICATIONS: 

ALLERGIES: 

PHYSICAL EXAMINATION:
GENERAL: 
VITAL SIGNS: 
LYMPHATICS: 
HEENT: 
NECK: 
CHEST: 
CARDIAC EXAM: 
ABDOMEN: 
NEURO EXAM: 
EXTREMITIES: 
SKIN: 
BONES & JOINTS: 
SPINE: 

 

ASSESSMENT AND PLAN: 

cc:   xxxxxxxxxx

DD:  xx/xx/xxxx
DT:  xx/xx/xxxx

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