Milcom Patient Data Base - English

The Patient Data Base System consists of three distinct, but interrelated parts:
A general patient-administered health history questionnaire of 141 carefully selected systems review questions.
A comprehensive 18-part physical exam, including a checklist and diagrammatic body chart.
Test results and summaries.

The health history questionnaire portion is a unique answer sheet that automatically picks up only your patients positive responses, saving valuable time by pinpointing potential problems before the patient interview and exam.

Milcom Patient Data Base Systems are available in four versions:
English (Stock No. 2295)
English Revised (Stock No. 2296)
Spanish (Stock No. 2320)
Osteopathic (Stock No. 2330M)
The revised version includes color on the summary page to help facilitate the physician review

 Download a sample today!

  9 1/4" x 11"
  7-part booklet-style snap-set 
  White bond and carbonless paper, black ink
  Both sides different
  Wrapped in 100s