1) ************Complete the template attached (See File 1) according to the example (See File 2 )
It is mandatory that you respect the information requested in the template
You should not modify the template. The titles and subtitles will be verified
2)¨******APA norms
Dont write in the first person
Dont copy and pase the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
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4) Minimum 5 references not older than 5 years
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Patient:
Name: AN
Age:
36 years
Race:
White, Non Hispanic
Gender:
Female
Insurance:
Private insurance
Referral:
No referral
Chief Complaint
“Headache
ICD-10 Diagnosis Codes
G43.011 – MIGRAINE WITHOUT AURA, INTRACTABLE, WITH STATUS MIGRAINOSUS
CPT Billing Codes
99204 – OFFICE/OP VISIT, NEW PT, 3 KEY COMPONENTS:COMPREHENSIVE HX;COMPREHENSIVE EXAM;MED DECISN MOD COMPLEX
Types of New/Refilled Prescriptions This Visit:
Analgesic/Antipyretic – NSAIDS
Neurology – Migraine