Complete the notes.

Write ONE WORD AND/OR A NUMBER for each answer.

TOTAL HEALTH CLINIC

PATIENT DETAILS

Personal information

Name Julie Anne......Garcia......

Contact phone [1]

Date of Birth [2],1992

Occupation works as a [3]

Insurance company [4] Life Insurance

Details of the problem

Type of problem pain in her left [5]

When it began [6] ago

Action already taken has taken painkillers and applied ice

Other information

Sports played:

- belongs to a [7] club

- goes [8] regularly

Medical history:

- injured her [9] last year

- no allergies

- no regular medication apart from [10]