PEDIATRIC CARE PLAN

PATIENT INFORMATION: PT Initial: _ Age Gender Race/Ethnicity _ Primary Language _ Religious Affiliation __ Date of Admission: Admit Reason/Symptoms: _______________________________¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬-_____________________________ Current Medical Diagnosis:...