WPC 2K ZB0HP DeskJet 690C Series PrinterXp7XXp7X/0 AZ0Univers (W1) RegularXK)\  PQP-Bu Z$Arrus BT Roman_p7/0 AZ0Univers (W1) RegularK)\  PQP-Bu Z$Arrus BT Roman2}3|x ,  X  K)\  PQ  _p7      K)\  PQ  (& Dr. Stalls Officeă New Patient H&P Visit date: Visit type: Current M.D.s 3Patient name:DOB: Other present: Relationship:  yxdddy Referred By/Reason for Visit: yxdddy Functional CC/Assistive Devices: yxdddy Functional HPI: yxdddy Disease CC: yxdddy Disease HPI: yxdddy Current Meds: yxdddy Recent labs: yxdddy Old records info: yxdddy Allergies: yxdddy Medical Hx/Hosp: yxdddy Surgical Hx: yxdddy Occup/Past occup: yxdddy Hobbies: yxdddy Likes: yxdddy Dislikes: yxdddy Advance Directives: yxdddy Soc/Living situation: yxdddy Family Hx (HTN/MI/Chol/CVA/CA/EtOH/Depression): yxdddy ROS Anorex/Wt loss/Incont/Constip/Dizz/HA/CP/Palp/DOE/SOB/Abd|Jt pain/Insom/Flu/Pneumovax/Mammogram: yxdddy ____________________________________________  Robert S. Stall, M.D.Date PHYSICAL EXAM/ASSESSMENT/PLAN  Patient Name: yxdddy General/Age/Appearance: yxdddy Wt:Ht:Temp:RR: Easy/shallow/labored HR: Description: B/P: Sup/sit/stand yxdddy Head/hair: yxdddy Eyes/EOM/Vision: yxdddy Ears/Hearing: yxdddy Nose: yxdddy Mouth/Throat: yxdddy Neck/Thyroid: yxdddy Breast: yxdddy Skin/Lymph: yxdddy Heart/Murmurs: yxdddy Pulses/Bruits: yxdddy Chest/Lungs: yxdddy Abdom/Bowel sounds: yxdddy Extrem/Edema/Jts: yxdddy Neuro/DTR/Strength: yxdddy Psychol/Mood: yxdddy Gait/Balance: yxdddy Genitals/Sexual Hx: yxdddy Rectal/Prost/Pelvic: yxdddy Assessment: yxdddy Plan of Care: yxdddy Next Visit: yxdddy ____________________________________________  Robert S. Stall, M.D.Date