Comprehensive Health Assessment (SOAP

Comprehensive Health Assessment (SOAP After completing, a detailed health history and complete physical examination students will write up the results of the health history and physical examination (SOAP note) using APA format. The health history form and details are as follow:FAMILY CLINIC. A] Name__________________________DOB____________________Soc First Middle Last Insurance: _________________________________Today’s Date_______________ Address:____________________City¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬_____________State___________Zip____ B] To be filled out by clinicians: S:_________________________________________________________________ O: T___ Wt:_______ Ht:________ BP_______ P:_______ R:________ BMI:____ Body Fat%____ Belly fat %:_____ Muscle fat%:_____ BIO age:_____ Waist:____ Normal weight/Obese/Over weight to loose /Gain:_____ Diet/exercise:_______ HEENT:_______ Lungs: _____________Heart__________ Abdomen: ________OBGYN:____________ Skin: __________________________ A:________________________________________________________________ P: _______________________________________________________________ Comment: _____________________________________________RTC: Clinician’sName_____________________________________

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