FA DAVIS
Rasmussen College
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FA DAVIS Gender Dysporia Patient Chart
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---4novembre 20212021/2022A+
- 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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