Using the information below, fill out the registration form provided here. You will have to invent information for some of the categories in the registration form. Once this activity is completed, navigate to the Medical History form and complete the activity.
Your patient (choose a name) is 33 years old. His or her primary care physician is Dr. Howard Malone. The patient is married and lives with his or her spouse at 511 N. Main Street in Chicago, Illinois 60605. Their home phone number is (234) 812-1208. The patient is a teacher at Harold Washington Public School. The emergency contact is the patient’s spouse (choose a name) at (345) 923-2319. The patient’s spouse works at the Chicago Cultural Center. The patient’s primary insurance company is City Health Plan. The copay is $25.00. The policy number is 14765, and the group number is 17283. The insurance is in the patient’s name. Your patient is allergic to amoxicillin. Your patient is currently taking Advair for asthma.
Submit this activity first. Once submitted, navigate to the Medical History form and complete the activity.
