SECTION 1
Questions 1-10
Complete the notes below.
Write NO MORE THAN TWO WORDS AND/OR A NUMBER for each answer.
Temporary Patient Record Form
| Name | Example Peter Smith |
| Address | 1______ |
| County | 2______ |
| Phone | 3______ |
| Injury Details |
| Cause | Sport-Tennis |
| Type | Sprained 4______ |
| Date | 5______ |
| Description of Previous Record and Current Situation |
| The private doctor of the patient suggested treatment with 6______. But the patient is still unable to 7______ and also getting some pain in his 8______ at night. |
| Advice from the Doctor |
| Not use the 9______. Do regular 10______ at home. |