Counseling African Americans To Control Hypertension (Caatch) Study Page 5

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Current Medications:
Drug Name
Rx Date
Dose
Frequency
Blood Pressure/CVD
/
/
1.
/
/
2.
/
/
3.
/
/
4.
/
/
5.
/
/
Cholesterol
/
/
1.
/
/
2.
/
/
3.
/
/
4.
/
/
Non-CVD
/
/
1.
/
/
2.
/
/
3.
/
/
4.
/
/
5.
/
/
6.
/
/
7.
/
/
Clinical Care Tools:
31.
Self-Management Goals Form
____None
____Present, not signed by MD
____Present, signed by MD
Comments:
Study ID
Site #
Reviewer ID
G:CAATCHAssessmentsChart Review
5

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