Clinical Examination

Print this page. Take to your doctor when you go for a visit and ask him/her to fill in the details.

Return to this page and enter the information. then save this page to your private blog on your Personal Page
on the Wellness Community website.

Examination of:

Eyes

normal    suspicious    abnormal -

Ears, nose, throat

normal    suspicious    abnormal -

Thyroid

normal    suspicious    abnormal -

Lymph nodes

normal    suspicious    abnormal -

Skin

normal    suspicious    abnormal -

Limbs

normal    suspicious    abnormal -

Abdomen

normal    suspicious    abnormal -

Lungs

normal    suspicious    abnormal -

Heart

normal    suspicious    abnormal -

Nervous system

normal    suspicious    abnormal -

Other

normal    suspicious    abnormal -

Blood pressure:    systolic     diastolic

Date: ___________________________

Doctor's name:

The Wellness Centre.
Copyright © 2007 Better Health Limited. All rights reserved.
Revised: 05/11/08