Female Accident Template

ms xx is a xx year old caucasian/african american/hispanic/asian female who works at xx she has presented to our office with the chief complaint of xx her symptoms started as the result of a motor vehicle collision she was involved in on xx, 2017 the patient states she was the driver/front passenger of a \[make/model] that was traveling/turning \[accident location] and was struck in the rear end/side by a \[make/model] that \[accident description] ms xx’s vehicle sustained xx damage and the other vehicle sustained a xx amount of damage ms xx described the weather as sunny and the road conditions were dry she was wearing her seatbelt and the airbags were/were not deployed upon impact she was looking xx and was thrown xx she does not remember hitting anything inside the vehicle and she denies any loss of consciousness she was taken to xx by ems where she was examined, had x rays taken of her xx, and ct scans performed on her xx, given prescriptions for xx, and released the same day she was also instructed to follow up with her primary care physician since that time she has not had any further evaluation or treatment she states that her symptoms have gotten worse/stayed the same and affect her ability to xx (get dressed, do housework, walk, bend forward, sleep, drive, carry anything over 5 pounds) also she notes that she has missed work/school due to her symptoms/injuries and she has increased anxiety and tension when driving or traveling in a car since the accident due to the persistence and progression of her symptoms, she has presented to our office for further evaluation