Part 1: Temporary Patient Record Form

Section 1 

Question 1-10

Complete the form below
Write NO MORE THAN THREE WORDS AND/OR A NUMBER for each answer

Temporary Patient Record Form

Name:
Example: Peter Smith

Street address: 1 ___________________________
Suburb: 2 ___________________________
Phone number: 3 ___________________________

Details of injury

Sport: Tennis
Type of injury: Sprained 4 ___________________________
Date of injury: 5 ___________________________

Previous treatment and current problems

The patient’s own doctor advised treatment with 6 ___________________________.
The patient is unable to 7 ___________________________ and he is experiencing pain in his 8 ___________________________ at night, which is affecting his sleep.

Advice given

Stop using the 9 ___________________________
Do regular 10 ___________________________ at home

KEYS

  1. 95 Cross Street
  2. Walkley
  3. 4689 5324
  4. Knee
  5. 18th June
  6. (an) ice pack
  7. go upstairs
  8. back
  9. stick
  10. exercises

 

 

TRANSCRIPT

Section 1.

You will hear a man talking first to a receptionist and then to a doctor at a health centre.

Receptionist: Good morning, how can I help you?
Peter: Uh, yes. I’m a visitor to this area. I had a sporting accident a little while ago, and I’m still in some pain, and I wondered if I could see a doctor here.
Receptionist: Certainly, sir, we can take you on as a temporary