Patient

By Adalia Bogert

Name.

Date of birth.

Group member ID.

Patient ID.

Age.

Height.

Weight.

Pain level. 

Date of onset.

Number of hospitalizations. 

Prescription number.

Test number.

ICD-10 code. 

Signature.

Date. 

Me.

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Adalia Bogert (she/her) is pursuing a Bachelor of Arts in English and Creative Writing at Southern New Hampshire University. In addition, she has attended writer’s workshops at the University of California, Los Angeles. She lives in California with her service dog, Sammy.