SAMPLE

• Signs and Symptoms
• Allergies
• Medications
  • WHOSE
    • Western (prescribed by a doctor)
    • Holistic (herbal remedies, supplements, etc)
    • OTC (ibuprofen, ASA, etc)
    • Street
    • Exceptions
• Past medical history
  • Try to keep it focused to things that are relevant
• Last...
  • Oral intake
  • Output
  • Menstrual Cycle
• Events leading up to 911
  • What changed today?