Fillable Patient History Report (City of Oakland)

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Patient History Report (City of Oakland)

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The Patient History Report (City of Oakland) form is 4 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for City of Oakland

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Total Care Clinic
Patient History Report
Name
Age
Height
Weight
Sex
Blood Pressure
Heart Rate
Respiratory
Rate
Temperature
SpO
2
BMI
Alerts:
Patient Reminders:
Medications:
Health Conditions:
Appointment Notes:
History:
Imaging Results:
Lab Results:
Medical Procedures:
Plan of Care:
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Patient History Report (City of Oakland)

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Completed 7 January 2021

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