PHS Forms

PHS Forms

words found on Pokagon Health Service froms
date [what is it today?]
Recording: 
patient [who will be seen?]
Recording: 
relationship to patient [how are you related to h/s?]
Recording: 
child
Recording: 
h/s parent(s)
Recording: 
authorized by [the one who allows things]
Recording: 
witness [the one who watched]
Recording: 
Tribal affiliation [where are you enrolled at?]
Recording: 
employment [where do you work at?]
Recording: