CC:

HPI:

PMH:
ALLERGIES:
MEDICATIONS:

VITALS: BP = / | HR = | RR = | SpO2 = % | GCS = | BGL = mg/dL | TEMP = F°

HEENT:
SKIN:
CHEST:
ABDOMEN:
PELVIS:
SPINE:
EXTREMITIES:

TREATMENT:

DISPOSITION/TRANSPORT:

OTHER NOTES: