Current Complaints and Pertinent History: In addition to the diagnostic interview completed on 09/16/2017, I received the following information:
Date: 09/15/2017
Document: Fax Sheet (referral)
Provider: Erin Curtis
Summary: Erin Curtis faxed a referral to Dr. Briggs on 09/15/2017. Included in the referral was Susan’s insurance carrier, subscriber number, as well as her provider’s name, …show more content…
Her reason for this appointment was a follow-up visit. It was reported that Susan continued to take her Atorvastatin, but would like to stop taking it, due to her dietary changes (i.e., she cut out meat, dairy, processed food, and sugar). It was reported that her cholesterol was half of what it was previously. Susan had not done any physical activity, but stated her fibromyalgia improved since her last visit. Her assessments suggested issues in the following areas: hyperlipidemia (primary); hypertension; fibromyalgia; GERD; insomnia; and Vitamin D deficiency,