Alejandra Garza
December 5, 2017
6:00 PM


Reason for consulting:
Severe back pain.

When did you start feeling this way:
Yesterday

What medications are you taking and for how long:
Painkillers
Ibuprofen

Do you have any allergies:
Dust
Pollen grains

Do you have any medical conditions:
Fever
Weight Loss/Gain
Cough
Constipation