Health Record Tracker For Adults Page 2
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2Health Counseling
Issues Discussed
Date
Result
Date
Result
Date
Result
Date
Result
Date
Result
Date
Result
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Smoking Cessation
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Alcohol/Drugs
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Diet/Weight
Vitamins, calcium,
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supplements
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Exercise
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Dental Care
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Eyesight
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Foot Care
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Sun Exposure
Safety: Seatbelts, helmets,
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guns, household hazards
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Occupational Health
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Stress
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Family Issues
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Domestic Violence
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Sexual Matters
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Contraception
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Self-Exams (BSE, TSE, skin)
Poly-pharmacy (multiple
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medications/interactions)
Advance Directives
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Parent category: Medical