Health History and Screening of an Adolescent or Young Adult Client
Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client.
Patient/Client Initials: T.G.
Address: 13 Lawn Gardens, Hanwell London W73JN
Birth Date: October 14, 1988
Birthplace: Middleburg Heights, Ohio
Marital Status: Engaged
Race/Ethnic Origin: Caucasian
Occupation: Medical Student
Employer: AUC School Of Medicine
Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?).........
Excerpt from file: HealthHistoryandScreeningofanAdolescentor YoungAdultClient SavethisformonyourcomputerasaMicrosoftWorddocument.Youcanexpandorshrinkeachareaasyouneedto includetherelevantdataforyourclient. StudentName: BiographicalData Patient/ClientInitials:T.G. PhoneNo:8283484941
Filesize: < 2 MB
Print Length: 13 Pages/Slides
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