How to make a Medical Condition Report? Download this Medical Condition Report template that will perfectly suit your needs.
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Alcohol Dependence Visual Field Impairment Drug Dependence Diabetes or Hypoglycemia - Uncontrolled Seizure(s)-Cerebral Other metabolic diseases (specify) Seizure(s)-Alcohol related Mental or Emotional Illness-Unstable Heart disease with Pre-syncope/Syncope/Arrhythmia Dementia or Alzheimer s Blackout or Loss of consciousness or Awareness Sleep Apnea-Uncontrolled Stroke/TIA or head injury with significant deficits Narcolepsy-Uncontrolled Both Visual Acuity and Visual Field Impairment Motor Function/Ability Impaired Visual Acuity Impairment Other (specify): Optional To expedite your patient s file, please provide further elaboration of clinical condition (if available) or attach as a separate report: Diagnosis Other Relevant Clinical Information (i.e current status - including results of investigations, medication(s), treatment and prognosis) and whether or not the condition is a serious risk to road safety, threat to road safety is unknown or condition is temporary - weeks/months..
This blank health Medical Condition Report is intuitive, ready-to-use and structured in a smart way. Try it now and let this template inspire you. We certainly encourage you to use this Medical Condition Report for your own good.
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