Writing A Medical Brief

[Guest guest]

Hi Bree-Anne,

Here's the general outline I use. I keep my own brief in a special folder in

Word for easy updating. ~ Gretchen

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Medical Brief (Date of writing/updating)

Full Name Orthopedist:

Address Neurologist:

City, State, Zip code Internist:

Phone

Medications Daily amount

Allergies List

Diagnoses List

EMG/NCV Studies List Dates

Hospitalizations List Reasons

Physical Therapy List Dates

Personal Information

Date of Birth

Emergency Contact Name and Phone

Advance Directive State on File or not