Advanced Practice Series®: Kai Tailfeather Health History
Client: Kai Tailfeather
Table of Contents
Client: Kai Tailfeather .................................................................................................................................... 1
Client Information ..................................................................................................................................... 2
Health History ........................................................................................................................................... 3
Previous Office Progress Note .................................................................................................................. 5
800 Country Club Road, P.O. Box 2540, Waterbury, CT 06723 | 1.800.749.2427 | SentinelU.com 1
, Advanced Practice Series®: Kai Tailfeather Health History
Client Information
Client Information
Name Age
Kai Tailfeather 17yo
Race/Ethnicity Language(s)
Blackfoot Tribe Piikani, English
Sex Assigned at Birth Gender Identity Pronouns
Male Two-Spirit They/Them/Theirs
Height Weight Marital Status
5’ 4” / 163 cm 155 lb / 70.4 kg Single
Allergies
NKA
Chief Complaint
College Wellness
800 Country Club Road, P.O. Box 2540, Waterbury, CT 06723 | 1.800.749.2427 | SentinelU.com 2
Client: Kai Tailfeather
Table of Contents
Client: Kai Tailfeather .................................................................................................................................... 1
Client Information ..................................................................................................................................... 2
Health History ........................................................................................................................................... 3
Previous Office Progress Note .................................................................................................................. 5
800 Country Club Road, P.O. Box 2540, Waterbury, CT 06723 | 1.800.749.2427 | SentinelU.com 1
, Advanced Practice Series®: Kai Tailfeather Health History
Client Information
Client Information
Name Age
Kai Tailfeather 17yo
Race/Ethnicity Language(s)
Blackfoot Tribe Piikani, English
Sex Assigned at Birth Gender Identity Pronouns
Male Two-Spirit They/Them/Theirs
Height Weight Marital Status
5’ 4” / 163 cm 155 lb / 70.4 kg Single
Allergies
NKA
Chief Complaint
College Wellness
800 Country Club Road, P.O. Box 2540, Waterbury, CT 06723 | 1.800.749.2427 | SentinelU.com 2