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Walk-Ins Are Welcome
Same Day Appointments
954-983-9191

Patient History

Family History
Age Cause of Death Cancer Heart Disease Diabetes High BP
Mother
Father
Brother
Sister
Hospitalizations/Surgeries
Date Description Hospital
History/Problems No Yes Comment
Anemia
Arthritis
Asthma <
Back Problems
Bowel Irregularity
Bronchitis
Cancer
Cholesterol
Circulation
Cough
Depression
Diabetes
Dizziness
Epilepsy <
Gall Bladder
Gout
Headache
Heart
Hemorrhoids
History/Problems No Yes Comment
Hepatitis
High BP
Infections
Injuries
Kidney
Nervousness
Pneumonia
Prostate
Rashes, Chronic
Rheumatic Fever
Scarlet Fever
Shortness of Breath
Sleep
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Swelling
Tuberculosis
Ulcer
Venereal Disease
Weight Changes
Habits

Woman Only





What makes us Different?

Same day appointments available
Walk-ins are welcomed
Or Call 954-983-9191

Get in touch with us.

Services

  • Asthma Treatments
  • Minor Surgery
  • Immunizations
  • Gynecology
  • Labs
  • Electrocardiograms
  • Pap Smears
  • Fitness Testing
  • Allergy Testing
  • Pulmonary Testing
  • Wound Care
  • Pacemaker Services
  • Dental Services
  • X-Rays
  • Free Transportation
  • Pregnancy Testing
  • Glucose Testing
  • Immigration Services
  • Optometry Services
  • Diagnostics
  • Podiatry
  • Hearing Services