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Comprehensive SOAP Note July 10th, 2019 @ 1030 AM
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10
June 2024
2023/2024
A+
Comprehensive SOAP Note
July 10th, 2019 @ 1030 AM
Patient Information: CJ is a pleasant, 27-year-old married, Caucasian male currently residing in
Andalusia, Alabama. Insured by Blue Cross and Blue Shield of Alabama.
Referral & Reliability: Self-referred and seems reliable.
S – Subjective Data
Chief Complaint: “I keep having heartburn after eating.”
HPI:
Location – Upper stomach, chest, and throat. Pain does not radiate.
Quality – “Burning sensation.”
Quan...
sirtyhuktt
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