Course 3 Essay Health Screening Adolescent and young adult

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Health History and Screening of an Adolescent or Young Adult Client

Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: Jessica Bates Date: 8/19/16 Biographical Data Patient/Client Initials: JB Phone No: 778-456-2345 Address: 4478 Hickory Chase grove Acworth GA 30144 Birth Date: 6/22/00 Age: 16 Sex: Female Birthplace: Marietta, GA
Marital Status: Single Race/Ethnic Origin: Black of African American origin
Occupation: Student Employer: Not employed Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)

Client is a full...

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