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SECTION 1

Questions 1-10

Complete the notes below.

Write ONE WORD AND/OR A NUMBER for each answer.

TOTAL HEALTH CLINIC

PATIENT DETAILS

Personal information

Example

Name              Julie Anne ……Garcia…..

   Contact phone           1…………………

   Date of birth               2…………………, 1992

   Occupation                 works as a 3………………….

    Insurance company   4…………………. Life Insurance

Details of the problem

    Type of problem         pain in her left 5…………………..

    When it began            6…………………. ago

    Action already taken   has taken painkillers and applied ice

Other information

    Sports played              belongs to a 7…………………. club

                                           goes 8…………………. Regularly

    Medical history           injured her 9………………… last year

                                           no allergies

                                           no regular medication apart from 10………………..

Answer

1. 219 442 9785

2. 10(th) October

3. manager

4. Cawley

5. knee

6. 3 weeks

7. tennis

8. running

9. shoulder

10. vitamins