Questions 1 - 10:
Complete the notes below. Write ONE WORD AND/OR A NUMBER for each answer.
TOTAL HEALTH CLINIC
PATIENT DETAILS
Personal information
Example:
Name: Julie Anne ……Garcia…..
Contact phone: 1
Date of birth: 2, 1992
Occupation: works as a 3
Insurance company: 4 Life Insurance
Details of the problem
Type of problem: pain in her left 5
When it began: 6 ago
Action already taken: has taken painkillers and applied ice
Other information
Sports played: belongs to a 7 club
goes 8 Regularly
Medical history: injured her 9 last year
no allergies
no regular medication apart from 10