FA DAVIS

Rasmussen College

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FA DAVIS Gender Dysporia Patient Chart
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4

november 2021

2021/2022

A+
I. Health History: Results of the Patient Interview Biographic Data (age, sex, race, religion, culture, occupation, health insurance, marital status, dependents, contact person) : Presenting Symptom(s) : Symptom Analysis Precipitative & Palliative events: What makes the symptom(s) worse/what makes the symptom(s) better? Quality of the symptom(s) : What does it feel like? Region: Where are the symptom(s) located? Do the symptom(s) radiate? Do you have any other symptoms?...
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