Checkup Format

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imbad

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May 4, 2024
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User Information:
Checkup done by:
Checkup done on:

Checkup Information:
Patient data
  • Eyes (Vision):
  • Ears (Hearing):
  • Reflexes (Reaction time):
  • Any external injuries (Scars, Bruises, etc.):
  • Breathing (Low, High):
  • Blood Pressure (High, Low, Normal):
  • Heart Rate (High, Low, Normal):
  • Body Temperature (Fever, etc.):
Actions taken:

It is also advised to check on the patient's mental health status, however, information about mental health is not to be logged, if needed, the patient is to be directed to a psychiatrist, which is not to be logged in here.

Things to look out for
  • How they're feeling currently.
  • If they enjoy their work.
  • If they feel as if they need someone to talk to.
 
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