5th July 2004			

GP Allied Health Team
Phone: (07) 5483 0738
Fax: (07) 5482 8353
Provider ID:GP4570000FL

Dear Allied Health Team,

			Re:Mr David Anderson
			DOB:4th January 1955	
			61 Wallace St
			Melbourne 3000
			My record no.: 345

Thank you for seeing David Anderson, age 49 yrs, for an opinion and management.

eg: Currently Suicidal, Aggressive, Substance Abuse, Previous Suicide Attempts, Active Psychotic Features, Domestic Violence.

Form handed to patient?: 

Past History: 
12 September 1999	MIGRAINE	

Allergies: 
SULFONYLUREAS (ENDOCRINE)

Current Medications:
AROPAX Tablet	20mg	1 mane	
CELESTONE-M Cream	0.02%	1 mane	
IMIGRAN Tablet	50mg	1 tablet swallowed whole. Max dose 6 tablets/24hrs	
ORUDIS SR Capsule	200mg	1 mane	
POLY-TEARS Eye Drops	0.3%-0.1%	1 mane	

Yours sincerely,

Dr. A. Practitioner.