2023….PLEASE FOLLOW ALL INSTRUCTIONS AND USE THE TEMPLATE.

DIAGNOSIS: TENSION HEADACHE

32 YEAR-OLD FEMALE

AFRICAN AMERICAN

2 KIDS DELIVERED VIA C-SECTION

MEDICAL HISTORY: GASTRITIS, ANEMIA

VACCINES: HPV, COVID,

PLEASE USE THE TEMPLATE AS A REFERENCE GUIDE TO ANSWERING EACH SECTION. PLEASE DELETE ALL REFERENCE INFORMATION ON THE TEMPLATE.