3+ SAMPLE Patient Medical Report in PDF

DATE OF PSYCHIATRIC CONSULTATION: MM/DD/YYYY IDENTIFICATION: The patient is a (XX)-year-old Hispanic female. SOURCE: Information obtained from medical records and the patient, who appears to be a fairly reliable source. CHIEF COMPLAINT: Medication refill. HISTORY OF PRESENT ILLNESS: The patient is a (XX)-year-old female with polysubstance abuse and ….

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