Health History And Screening of an Adolescent or Young Adult Client

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Biographical Data

Patient/Client Initials: Julio Molina

Phone No: XXX-XXX-XXXX

Birth Date:1/28/1999

Age:15

Sex: Male

Birthplace: Tucson, AZ

Marital Status: Single

Race/Ethnic Origin: Mexican-American

Occupation: Student

Employer: N/A

Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?) Patient is a freshman in high school and thus has no income, however, his parents have health insurance which covers Julio.

Source and Reliability of Informant: Information obtained directly from the patient.

Past Use of Health Care System and Health Seeking Behaviors: Patient visits a general health care clinic during instances of poor health and illness.

Present Health or History of Present Illness: Patient exhibits...
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