PEDIATRIC CARE PLAN

  PATIENT INFORMATION: PT Initial: ___ Age ___ Gender ___ Race/Ethnicity __________ Primary Language __________ Religious Affiliation __________ Date of Admission: ________ Admit Reason/Symptoms: _________________________________________¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬-_________________________________________ Current Medical Diagnosis: __________________________________________________________________________________________________________________ Current […]